Active NPI
Knox Surgical LLC
- Surgery Physician
- Mount Vernon, OH
National Provider Identifier
1861681553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35054121
- Legal business name
- KNOX SURGICAL LLC
- Practice address
- 307 Vernedale Dr
Mount Vernon, OH 43050-2921 - Phone
- (740) 397-4430
- Fax
- (740) 397-8278
- NPI assigned
- Oct 18, 2007
- Last updated
- Mar 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David F Kasserman, MD
- Title
- Surgeon
- Phone
- (740) 397-4430
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35054121 | OH | Primary |
Addresses
Primary practice location
307 Vernedale Dr
Mount Vernon, OH 43050-2921
Mailing address
307 Vernedale Dr
Mount Vernon, OH 43050-2921
Phone (740) 397-4430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0821098 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
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.
-
- Orthopaedic Surgery Physician
- Mount Vernon, OH
- NPI 1609835354
-
- Family Medicine Physician
- Mount Vernon, OH
- NPI 1235161357
-
- Internal Medicine Physician
- Mount Vernon, OH
- NPI 1659434355
-
- Family Medicine Physician
- Mount Vernon, OH
- NPI 1356453690
-
- Occupational Medicine Physician
- Mount Vernon, OH
- NPI 1053470690
-
- Surgery Physician
- Rochester, MN
- NPI 1326041674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1861681553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 VERNEDALE DR",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430502921",
"telephone_number": "740-397-4430",
"fax_number": "740-397-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 VERNEDALE DR",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430502921",
"telephone_number": "740-397-4430",
"fax_number": "740-397-8278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOX SURGICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-18",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "KASSERMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "SURGEON",
"authorized_official_telephone_number": "740-397-4430",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35054121",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0821098",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.