Organization Active NPI

Upward Surgical, LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Dublin, GA
National Provider Identifier
1841595428
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
033699 Issued in GA
Legal business name
UPWARD SURGICAL, LLC
Practice address
100 Medical Dr
Suite 100
Dublin, GA 31021-2559
Phone
(478) 274-1008
NPI assigned
Jan 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Dr. James H Shoptaw Jr., MDNPI 1710951942
Title
Owner
Phone
(478) 274-1008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X 033699 GA Primary

Addresses

Primary practice location

100 Medical Dr
Suite 100
Dublin, GA 31021-2559

Mailing address

100 Medical Dr
Suite 100
Dublin, GA 31021-2559
Phone (478) 274-1008

Other identifiers 1

IdentifierTypeStateIssuer
003101084AMedicaidGA

National Provider Directory

National Provider Directory

Locations

100 Medical Dr
Ste 100
Dublin, GA 31021
Phone (478) 272-2707

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1841595428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "address_2": "SUITE 100",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212559",
            "telephone_number": "478-274-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL DR",
            "address_2": "SUITE 100",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212559",
            "telephone_number": "478-274-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPWARD SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "SHOPTAW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-274-1008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "033699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003101084A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.