Princeton Surgical Group Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

16015 Issued in WV

Legal business name

PRINCETON SURGICAL GROUP INC

Practice address

508 New Hope Rd Ste 106
Princeton, WV 24740-2265

Phone

(304) 425-2310

Fax

(304) 487-3675

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Generoso D Duremdes, M.D.

Title

President

Phone

(304) 425-2310

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407110400000",
    "number": "1649342031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 NEW HOPE RD STE 106",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402265",
            "telephone_number": "304-425-2310",
            "fax_number": "304-487-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 NEW HOPE RD STE 106",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402265",
            "telephone_number": "304-425-2310",
            "fax_number": "304-487-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON SURGICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2014-08-04",
        "status": "A",
        "authorized_official_last_name": "DUREMDES",
        "authorized_official_first_name": "GENEROSO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-425-2310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WV",
            "license": "16015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009321000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Princeton Rescue Squad Inc
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• Priority One Home Care, LLC
• Jason L Pritchett, PHARMD
• Professional Imaging, Inc.
• Amy C Proffitt, MSN, FNP-BC

• Surgery Physician in Princeton, WV
• Providers in Princeton, WV by specialty
• Surgery Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.