The Surgeons Office, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

57243 Issued in OH

Legal business name

THE SURGEONS OFFICE, INC

Practice address

495 Cooper Rd
Ste 430
Westerville, OH 43081-8780

Phone

(614) 508-0001

Fax

(614) 508-0008

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Kim S Hamelberg, MD

Title

President

Phone

(614) 508-0001

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1710069711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 COOPER RD",
            "address_2": "STE 430",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818780",
            "telephone_number": "614-508-0001",
            "fax_number": "614-508-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 COOPER RD",
            "address_2": "STE 430",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818780",
            "telephone_number": "614-508-0001",
            "fax_number": "614-508-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGEONS OFFICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "HAMELBERG",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-508-0001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "57243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0820946",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Westerville, OH
• Providers in Westerville, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.