Surgical Consultants PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15046 Issued in GA

Legal business name

SURGICAL CONSULTANTS PC

Practice address

5555 Buford Hwy
501
Norcross, GA 30071-3957

Phone

(770) 446-6655

Fax

(770) 446-6659

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Somphong Thitaram, MDNPI 1063504074

Title

President

Phone

(770) 446-6655

Specialties & licenses 1

Addresses

Other names 1

• somphong thitaram md Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Somphong Thitaram, MD

  • General Practice Physician
  • Marietta, GA
  • NPI 1063504074
  NPD (past) Authorized official

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649359753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 BUFORD HWY",
            "address_2": "501",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713957",
            "telephone_number": "770-446-6655",
            "fax_number": "770-446-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 BUFORD HWY",
            "address_2": "501",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713957",
            "telephone_number": "770-446-6655",
            "fax_number": "770-446-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THITARAM",
        "authorized_official_first_name": "SOMPHONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-446-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "15046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "somphong thitaram md",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Regina McCollum Sullivan, O.D.
• Laconya Sumbry
• Steilan Iman Sumpter, PA-C
• Sunrise Pharmacy
• Superior Medical Transport, LLC
• Surgimed Suppliers, Inc
• Sutherland Psychotherapy Associates, LLC
• Susan Sutphen, MD
• Suzie Home Care Inc.
• Martha Suzanne Swan, SLP

• General Practice Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.