Surgical Associates of Bloomington, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL ASSOCIATES OF BLOOMINGTON, PC

Practice address

822 W 1St St
Suite 8
Bloomington, IN 47403-2384

Phone

(812) 336-4707

Fax

(812) 334-1093

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Fadi Haddad, MDNPI 1932194511

Title

Owner

Phone

(812) 336-4707

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7727/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Fadi Haddad, MD

  • Surgery Physician
  • Bloomington, IN
  • NPI 1932194511
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1750313250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W 1ST ST",
            "address_2": "SUITE 8",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032384",
            "telephone_number": "812-336-4707",
            "fax_number": "812-334-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 W 1ST ST",
            "address_2": "SUITE 8",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032384",
            "telephone_number": "812-336-4707",
            "fax_number": "812-334-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF BLOOMINGTON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-336-4707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "DF0586",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Sung, MD
• Claire Sunkel
• Sunshine ABA Therapy Inc.
• Jonathan W Surdam, M.D.
• Surgi-Care LLC
• Surgicare LLC
• Taylor Sustarsic, SLPD
• Victoria Jolene Sutherland
• Gregory M Sutliff, M.D.
• Mark A Sutor, DDS MSD

• Surgery Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.