Active NPI
Surgical Associates of Sgi, PLLC
- Surgery Physician
- Springville, NY
National Provider Identifier
1780889253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SURGICAL ASSOCIATES OF SGI, PLLC
- Practice address
- 224 E. Main St.
Springville, NY 14141-1443 - Phone
- (716) 794-0040
- Fax
- (716) 794-0044
- NPI assigned
- Jun 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jon Matthew Baker, M.D., FACS
- Title
- Owner
- Phone
- (716) 794-0040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
224 E. Main St.
Springville, NY 14141-1443
Mailing address
224 E. Main St.
Springville, NY 14141-1443
Phone (716) 794-0040
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401321600000",
"number": "1780889253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 E. MAIN ST.",
"city": "SPRINGVILLE",
"state": "NY",
"postal_code": "141411443",
"telephone_number": "716-794-0040",
"fax_number": "716-794-0044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 E. MAIN ST.",
"city": "SPRINGVILLE",
"state": "NY",
"postal_code": "141411443",
"telephone_number": "716-794-0040",
"fax_number": "716-794-0044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL ASSOCIATES OF SGI, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-15",
"last_updated": "2014-05-29",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "JON",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "716-794-0040",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D., FACS"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.