Tarheel Surgical Specialists, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

9800713 Issued in NC

Legal business name

TARHEEL SURGICAL SPECIALISTS, LLC

Practice address

310 S. McCaskey Rd.
Williamston, NC 27892-1128

Phone

(252) 799-3006

Fax

(252) 799-0955

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Todd Fitzgerald Tanner, MDNPI 1578640231

Title

Owner/Physician

Phone

(252) 799-3006

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Todd Fitzgerald Tanner, M.D.

  • Family Medicine Physician
  • Miramar, FL
  • NPI 1578640231

  Surgery

  NPD (past) Authorized official
• Anil Laxmidas Bathia, M.D.

  • Diagnostic Radiology Physician
  • Coral Springs, FL
  • NPI 1932138898
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1770778342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S. MCCASKEY RD.",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921128",
            "telephone_number": "252-799-3006",
            "fax_number": "252-799-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S. MCCASKEY RD.",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921128",
            "telephone_number": "252-799-3006",
            "fax_number": "252-799-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARHEEL SURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "FITZGERALD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "252-799-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9800713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891153P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Harrison Stewart, PT, DPT
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• Tar River LTC Group, LLC
• Ronald Taska, M.D.
• Anya C Taylor, PHARM. D.
• The Power of U, Inc
• The Secret Garden Center for Transformation
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• Specialist in Williamston, NC
• Providers in Williamston, NC by specialty
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.