Specialty Surgery Center, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0000000091 Issued in TN

Legal business name

SPECIALTY SURGERY CENTER, PLLC

Practice address

116 Brown Ave
Crossville, TN 38555-7703

Phone

(931) 484-2500

Fax

(931) 456-7659

NPI assigned

Nov 21, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Kim L Bowlin

Title

Billing Manager

Phone

(931) 484-2500

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Susan N Pick, MD

  • Orthopaedic Surgery Physician
  • Crossville, TN
  • NPI 1568572675
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1659354074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BROWN AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385557703",
            "telephone_number": "931-484-2500",
            "fax_number": "931-456-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BROWN AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385557703",
            "telephone_number": "931-484-2500",
            "fax_number": "931-456-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY SURGERY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "BOWLIN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "931-484-2500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3287828",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1659354074",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Edward Smithey, MSN, ACNP-BC
• Sogo
• Kristine Louise Soly, MD, FACC
• Matthew Song, DDS
• Kathryn Ann Sorkin, RPH
• Philemon Theologos Spencer, M.D.
• Timothy M Spitler, MD
• Stacey B. Carlton, MD, PC (Infinity Healthcare Center)
• Alexis Paige Stafford, OTR/L
• John R Stahly, D.PH.

• Ambulatory Surgical Clinic/Center in Crossville, TN
• Providers in Crossville, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.