Organization Active NPI

Surgical Associates of Zanesville, Inc

  • Surgery Physician
  • Zanesville, OH
National Provider Identifier
1649216573
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SURGICAL ASSOCIATES OF ZANESVILLE, INC
Practice address
2916 Vangader Dr
Zanesville, OH 43701-1744
Phone
(740) 453-9616
Fax
(740) 453-4940
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Debra Williams
Title
Practice Manager
Phone
(740) 453-9616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2916 Vangader Dr
Zanesville, OH 43701-1744

Mailing address

2916 Vangader Dr
Zanesville, OH 43701-1744
Phone (740) 453-9616

Other identifiers 1

IdentifierTypeStateIssuer
381886MedicaidOH

National Provider Directory

National Provider Directory

Locations

2916 Vangader Dr
Zanesville, OH 43701
Phone (740) 453-0661

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1649216573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 VANGADER DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011744",
            "telephone_number": "740-453-9616",
            "fax_number": "740-453-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 VANGADER DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011744",
            "telephone_number": "740-453-9616",
            "fax_number": "740-453-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF ZANESVILLE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "740-453-9616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381886",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.