Southern Surgical Associates LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

SOUTHERN SURGICAL ASSOCIATES LLC

Doing business as

Commonwealth Surgical Associates

Practice address

3640 High St
Suite 2F
Portsmouth, VA 23707-3213

Phone

(757) 397-2383

Fax

(757) 397-5201

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Vasken Kevork Tenekjian, M.D.

Title

President

Phone

(757) 397-2383

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Commonwealth Surgical Associates Doing business as

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1790715506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 HIGH ST",
            "address_2": "SUITE 2F",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073213",
            "telephone_number": "757-397-2383",
            "fax_number": "757-397-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 HIGH ST",
            "address_2": "SUITE 2F",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073213",
            "telephone_number": "757-397-2383",
            "fax_number": "757-397-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "TENEKJIAN",
        "authorized_official_first_name": "VASKEN",
        "authorized_official_middle_name": "KEVORK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-397-2383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "C05853",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Commonwealth Surgical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Marie Sorrells
• Tiana Sotepenra, PA
• Alain Soto Lopez, MD
• Stephanie Sottile, BS, RN, CMSRN
• Southeast Spine & Wellness Center LLC
• Southside Group Homes, LLC (Southside Group Homes)
• Gautam Sowda, DPM
• Hannah Spanik, LPC
• Andrew Paul Spencer, RN
• Jessica Spicer, RN

• Vascular Surgery Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Vascular Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.