Surgery Clinic of Philadelphia

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SURGERY CLINIC OF PHILADELPHIA

Practice address

1003 Holland Ave
Suite 101
Philadelphia, MS 39350-2180

Phone

(601) 663-1234

Fax

(601) 663-1236

NPI assigned

Oct 27, 2006

Last updated

Sep 22, 2017By 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

Mr. Scott McNair

Title

Chief Financial Officer

Phone

(601) 663-1233

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• Direct secure messaging: andrewdabbs@neshobahealth.cernerdirect.com

Practitioners 2

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.

• John B Adams, D.O.

  • Interventional Pain Medicine Physician
  • Pensacola, FL
  • NPI 1639109739
  NPD (past)
• Latha Yedlapalli

  • Internal Medicine Physician
  • Frisco, TX
  • NPI 1356368898

  General Practice

  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506038400000",
    "number": "1861578536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 HOLLAND AVE",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502180",
            "telephone_number": "601-663-1234",
            "fax_number": "601-663-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 HOLLAND AVE",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502180",
            "telephone_number": "601-663-1234",
            "fax_number": "601-663-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CLINIC OF PHILADELPHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2017-09-22",
        "status": "A",
        "authorized_official_last_name": "MCNAIR",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "601-663-1233",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00258672",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Stokes, FNP
• Whitney Lauren Stokes, OTR/L
• Stribling Drug Store
• Richard Kent Stribling, O.D.
• Trent A Stribling, O.D.
• Kimberly Nicole Tadlock, RDN
• Katie Taylor, CMHC
• Shelby Smith Thames
• The Medical Store, Inc. (The Medical Store, Inc./Philadelphia)
• Denita Kaye Thomas, FNP

• Clinic/Center in Philadelphia, MS
• Providers in Philadelphia, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.