Surgical Union, LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

SURGICAL UNION, LLC

Practice address

1060 E County Line Rd Ste 3a # 336
Ridgeland, MS 39157-1937

Phone

(601) 282-9595

NPI assigned

Dec 4, 2018

Last updated

Dec 4, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Delong

Title

Pams Npi Administrator

Phone

(210) 598-2800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1841760717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 E COUNTY LINE RD STE 3A # 336",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571937",
            "telephone_number": "601-282-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E COUNTY LINE RD STE 3A # 336",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571937",
            "telephone_number": "601-282-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL UNION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "DELONG",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PAMS NPI ADMINISTRATOR",
        "authorized_official_telephone_number": "210-598-2800"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Summers, FNP-C
• Misty Victoria Sumrall, COTA/L
• Sunnybrook Children's Home, Inc.
• Sunset Counseling LLC
• Superior Wound Care
• Missy Sutton, COTA
• Tamekia Lavern Sutton, PTA
• Vicki Swayze
• Stephen Patrick Sweeney
• Sweet Life Counseling LLC

• Physician Assistant in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.