Surgical Specialty Associates, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGICAL SPECIALTY ASSOCIATES, PLLC

Practice address

870 36TH Ave
Moline, IL 61265-7159

Phone

(563) 940-0537

NPI assigned

Jun 23, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Michael Fierce, DONPI 1639355134

Title

Owner

Phone

(563) 940-0537

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan Michael Fierce, D.O.

  • Surgery Physician
  • Moline, IL
  • NPI 1639355134
  Authorized official Same address or phone

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1831715143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 36TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657159",
            "telephone_number": "563-940-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 36TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657159",
            "telephone_number": "563-940-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL SPECIALTY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "FIERCE",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-940-0537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036.127839",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Sullens, DPT
• Carla Ann Sullivan, D.C.
• Summit Healthcare Services LLC
• Sanjay Sundar, M.D.
• Sung Soo Kang MD SC
• Anette Svendsberget, D.C.
• Carrie M Swanson, MPT
• Elizabeth A Swanson, PA-C
• John A. Swanson, M.D.
• Kali Sweers, FNP-BC

• Surgery Physician in Moline, IL
• Providers in Moline, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.