Active NPI
Advanced Surgical Associates, LLC
- Surgery Physician
- Memphis, TN
National Provider Identifier
1669049573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ADVANCED SURGICAL ASSOCIATES, LLC
- Practice address
- Baptist Memorial Hospital
6019 Walnut Grove Road
Memphis, TN 38120 - Phone
- (901) 226-5000
- NPI assigned
- Jun 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy M Biedenbach, PA-C
- Title
- Director of Operations/Manager
- Phone
- (706) 463-9701
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
Baptist Memorial Hospital
6019 Walnut Grove Road
Memphis, TN 38120
Mailing address
678 Port Natchez CV W
Collierville, TN 38017-1796
Phone (706) 463-9701
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623196800000",
"number": "1669049573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "678 PORT NATCHEZ CV W",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380171796",
"telephone_number": "706-463-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAPTIST MEMORIAL HOSPITAL",
"address_2": "6019 WALNUT GROVE ROAD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38120",
"telephone_number": "901-226-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED SURGICAL ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-09",
"last_updated": "2021-06-09",
"certification_date": "2021-05-21",
"status": "A",
"authorized_official_last_name": "BIEDENBACH",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS/MANAGER",
"authorized_official_telephone_number": "706-463-9701",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.