Organization Active NPI

Surgical Associates of Gadsden PC

  • Surgery Physician
  • Gadsden, AL
National Provider Identifier
1659472983
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8001055 Issued in AL
Legal business name
SURGICAL ASSOCIATES OF GADSDEN PC
Practice address
900 Goodyear Ave
Suite B
Gadsden, AL 35903-1108
Phone
(256) 492-0020
Fax
(256) 492-0029
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Dr. Alberto Echeverri, MD
Title
Owner/Gen Surgeon Medical Doctor
Phone
(256) 492-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 8001055 AL Primary

Addresses

Primary practice location

900 Goodyear Ave
Suite B
Gadsden, AL 35903-1108

Mailing address

900 Goodyear Ave
Suite B
Gadsden, AL 35903-1108
Phone (256) 492-0020

Other identifiers 7

IdentifierTypeStateIssuer
051076949OtherALBLUE CROSS/BLUE SHIELD
1609837152OtherALNPI
1659472983OtherALNPI GROUP
1891976833OtherALNPI
C12823OtherALRAILROAD MEDICARE GROUP
P00401656OtherALRAILROAD MEDICARE
529203130MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1659472983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 GOODYEAR AVE",
            "address_2": "SUITE B",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031108",
            "telephone_number": "256-492-0020",
            "fax_number": "256-492-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 GOODYEAR AVE",
            "address_2": "SUITE B",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031108",
            "telephone_number": "256-492-0020",
            "fax_number": "256-492-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF GADSDEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "ECHEVERRI",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "OWNER/GEN SURGEON MEDICAL DOCTOR",
        "authorized_official_telephone_number": "256-492-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "8001055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "051076949",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609837152",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1659472983",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891976833",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "C12823",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00401656",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529203130",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.