Surgery Clinic, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGERY CLINIC, LLC

Practice address

395 Northwood Dr
Centre, AL 35960-1045

Phone

(256) 547-6331

Fax

(256) 547-1711

NPI assigned

Apr 7, 2011

Last updated

Aug 17, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

THE SURGERY CLINIC, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Dianette Keener

Title

Billing Manager

Phone

(256) 547-6331

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Surgery Clinic, LLC

  • Surgery Physician
  • Gadsden, AL
  • NPI 1205893732

  O20110303000651

  Same enrollment
• Surgery Clinic, LLC

  dba Surgery Clinic, LLC - Jacksonville

  • Surgery Physician
  • Jacksonville, AL
  • NPI 1780068460

  O20110303000651

  Same enrollment
• The Surgery Clinic, LLC

  dba OMI of Gadsden

  • Nuclear Medicine Technology Radiologic Technologist
  • Gadsden, AL
  • NPI 1508070293

  O20110303000651

  Same enrollment

Part of

Newman Campbell Bridges

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBGIBD

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1851681183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S 5TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015101",
            "telephone_number": "256-547-6331",
            "fax_number": "256-547-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 NORTHWOOD DR",
            "city": "CENTRE",
            "state": "AL",
            "postal_code": "359601045",
            "telephone_number": "256-547-6331",
            "fax_number": "256-547-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CLINIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SURGERY CLINIC, LLC",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "KEENER",
        "authorized_official_first_name": "DIANETTE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "256-547-6331",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128498",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruby Morgan Shell
• Jared Burt Smith, PHARMD
• State of Alabama
• State of Alabama Department of Public Health (Cherokee County Health Dept Flu-Pneu)
• Anna Teal Steffan, MD
• Symbol Health Solutions, L.LC.
• Kristen Talbot, PHARM D
• The Cherokee County Health Care Authority (Cherokee County Health and Rehabilitation Center)
• Alana Marie Thompson, PHARM.D.
• Anna Marie Thrash, FNP

• Surgery Physician in Centre, AL
• Providers in Centre, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.