NPIMap

Organization Active NPI

Anderson Surgical Associates

  • Surgery Physician
  • Anderson, SC
National Provider Identifier
1679762009
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7765 Issued in SC
Legal business name
ANDERSON SURGICAL ASSOCIATES
Practice address
703 N Fant St
Anderson, SC 29621-5705
Phone
(864) 225-5059
Fax
(864) 392-9068
NPI assigned
Oct 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Julia H Holla ND
Title
Office Manager
Phone
(864) 225-5059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 7765 SC Primary

Addresses

Primary practice location

703 N Fant St
Anderson, SC 29621-5705

Mailing address

703 N Fant St
Anderson, SC 29621-5705
Phone (864) 225-5059

National Provider Directory

National Provider Directory

Locations

5737 Airport Rd
Anderson, SC 29626
Phone (864) 225-5059

Practitioners & affiliated clinicians

Practitioners 4

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": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1679762009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215705",
            "telephone_number": "864-225-5059",
            "fax_number": "862-392-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215705",
            "telephone_number": "864-225-5059",
            "fax_number": "864-392-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "HOLLA ND",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "864-225-5059"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "SC",
            "license": "7765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.