Surgery Management Group LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SURGERY MANAGEMENT GROUP LLC

Doing business as

GALLUP SURGERY CENTER

Practice address

1808 E Aztec Ave Ste 2
Gallup, NM 87301-4946

Phone

(469) 235-5588

Fax

(866) 600-7772

NPI assigned

Oct 26, 2020

Organization subpart

No

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

Authorized official

Name

Terrence Johnson

Title

Owner

Phone

(469) 235-5588

Specialties & licenses 2

Addresses

Other names 1

• GALLUP SURGERY CENTER Doing business as

Locations

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1871192377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E COLLINS BLVD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812457",
            "telephone_number": "469-235-5588",
            "fax_number": "866-600-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 E AZTEC AVE STE 2",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014946",
            "telephone_number": "469-235-5588",
            "fax_number": "866-600-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-235-5588"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GALLUP SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Ganster Suk, MD
• Ashley Sullivan, M.D.
• Andrew Wade Sun, PHARMD
• Sundance Dental Care of Gallup
• Debra S Sunier, RN
• Astra Surom
• Sharna J Sutherin, PH.D.
• Betty B. Sutliff, D.C.
• Timothy Sutton
• Anandan Swaminathan, MD

• Surgery Physician in Gallup, NM
• Providers in Gallup, NM by specialty
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.