Park Surgical Group Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD012218E Issued in PA

Legal business name

PARK SURGICAL GROUP INC

Practice address

750 S West End Blvd
Quakertown, PA 18951-2614

Phone

(215) 536-1133

Fax

(215) 538-7484

NPI assigned

Jul 1, 2005

Organization subpart

No

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

Authorized official

Name

Wendell P Eicher, M.D.

Title

President

Phone

(215) 536-1133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821095175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S WEST END BLVD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189512614",
            "telephone_number": "215-536-1133",
            "fax_number": "215-538-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S WEST END BLVD",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189512614",
            "telephone_number": "215-536-1133",
            "fax_number": "215-538-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SURGICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EICHER",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-536-1133",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD012218E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Ernest Ozanne, DC
• Sheela S Padaki, OTA
• Christopher Edward Painter
• Stephanie Pannick
• Sukanya Parasher, MD
• Lori Parker
• Linda Pasqua-Blaisse, M.ED.
• Abhishek Patel, DMD
• Darshil Patel
• Pavan Patel

• Surgery Physician in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Surgery Physician in Pennsylvania

• 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.