Ssca Surgical Associates of Columbia

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0000000033 Issued in TN

Legal business name

SSCA SURGICAL ASSOCIATES OF COLUMBIA

Practice address

725 South James Campbell Blvd
Columbia, TN 38401

Phone

(931) 381-3700

Fax

(931) 381-9093

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Keith A Bolton

Title

Administrator Ceo

Phone

(931) 381-3700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Surgery Center of Columbia Doing business as

Practitioners 1

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

• Stephen Edwin Parey, MD

  • Otolaryngology Physician
  • Columbia, TN
  • NPI 1093753626
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790717825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1285",
            "address_2": "725 SOUTH JAMES CAMPBELL BLVD",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-381-3700",
            "fax_number": "931-381-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SOUTH JAMES CAMPBELL BLVD",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "38401",
            "telephone_number": "931-381-3700",
            "fax_number": "931-381-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SSCA SURGICAL ASSOCIATES OF COLUMBIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOLTON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR CEO",
        "authorized_official_telephone_number": "931-381-3700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "0000000033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1000992",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3287168",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of Columbia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Sue Sowell, PHARM.D.
• David George Spak
• Grant Connor Spears
• Spectrum Pain Clinics, Inc
• Nicholas Spinuzza, M.D.
• Heather Staggs
• Johnny Winfred Staggs
• Julia Christine Staley, MSN, WHNP-BC
• Krystle Littrell Stanley
• State of Tennessee

• All providers in Columbia, TN
• Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.