Surgan Medical Management

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SURGAN MEDICAL MANAGEMENT

Practice address

4355 Bear Gully Rd
Winter Park, FL 32792-9422

Phone

(321) 282-0561

NPI assigned

Oct 14, 2011

Last updated

Oct 14, 2011By 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

Jeffrey M Hartog, MDNPI 1386711166

Title

Manager

Phone

(321) 282-0561

Specialties & licenses 1

Addresses

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.

• Jeffrey Michael Hartog, JEFFREY HARTOG M.D.

  • Plastic Surgery Physician
  • Winter Park, FL
  • NPI 1386711166
  Authorized official Same address or phone

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1851676407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 BEAR GULLY RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929422",
            "telephone_number": "321-282-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 BEAR GULLY RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929422",
            "telephone_number": "321-282-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGAN MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "HARTOG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-282-0561",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Time Lodge, Inc.
• Summit Behavioral Healthcare Associates, Inc.
• Sun Care Medical Supply of Central Florida
• Sun State Prosthetics Inc.
• Chenzhe Sun
• Surgical Associates of Central Florida PA (Surgical Associates)
• Surgical Center Associates LTD (Winter Park Ambulatory Surgical Center)
• Surgical Group of Winter Park LLC
• Anne-Christine Surin, BSW
• Susan Weissmann, LLC

• Specialist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.