Organization Active NPI

Agbunag Surgery Associates, PLLC

  • Surgery Physician
  • Madison, TN
National Provider Identifier
1811137656
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
AGBUNAG SURGERY ASSOCIATES, PLLC
Practice address
1114 Gallatin Pike N
Madison, TN 37115-2738
Phone
(615) 868-8612
Fax
(615) 865-1463
NPI assigned
Mar 5, 2009
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Dr. Arnulfo A Agbunag
Title
Owner
Phone
(615) 868-8612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1114 Gallatin Pike N
Madison, TN 37115-2738

Mailing address

PO Box 486
Goodlettsville, TN 37070-0486
Phone (615) 868-8612

National Provider Directory

National Provider Directory

Locations

1114 Gallatin Pike N
Madison, TN 37115
Phone (615) 868-8612

3443 Dickerson Pike
Ste 340
Nashville, TN 37207
Phone (615) 320-0007

NPI Registry JSON

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1811137656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 486",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370700486",
            "telephone_number": "615-868-8612",
            "fax_number": "615-865-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152738",
            "telephone_number": "615-868-8612",
            "fax_number": "615-865-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGBUNAG SURGERY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "AGBUNAG",
        "authorized_official_first_name": "ARNULFO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-868-8612",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; 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.