Wythe Surgical Associates, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101021378 Issued in VA

Legal business name

WYTHE SURGICAL ASSOCIATES, INC

Practice address

105 W Pine St
Wytheville, VA 24382-1937

Phone

(276) 228-5831

Fax

(276) 228-3451

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Roberto J Lee, M.D.

Title

President

Phone

(276) 228-5831

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Charles A Harris, MD

  • Surgery Physician
  • Christiansburg, VA
  • NPI 1407850860
  NPD (past)

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1750554606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W PINE ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821937",
            "telephone_number": "276-228-5831",
            "fax_number": "276-228-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W PINE ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821937",
            "telephone_number": "276-228-5831",
            "fax_number": "276-228-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYTHE SURGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-228-5831",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101021378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Wytheville, VA
• Providers in Wytheville, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.