NPIMap

Organization Active NPI

Copper Basin Surgical Associates, Inc

  • Surgery Physician
  • Copperhill, TN
National Provider Identifier
1871780668
Registry record updated Dec 11, 2007
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Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO1884 Issued in TN
Legal business name
COPPER BASIN SURGICAL ASSOCIATES, INC
Practice address
144 Medical Center Dr
Suite D
Copperhill, TN 37317-0990
Phone
(423) 496-6337
Fax
(423) 496-8192
NPI assigned
Sep 26, 2007
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Eric Lee Satterfield, D.O.
Title
President
Phone
(423) 496-6337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DO1884 TN Primary

Addresses

Primary practice location

144 Medical Center Dr
Suite D
Copperhill, TN 37317-0990

Mailing address

PO Box 40
Ducktown, TN 37326-0040
Phone (423) 496-6337

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1871780668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "DUCKTOWN",
            "state": "TN",
            "postal_code": "373260040",
            "telephone_number": "423-496-6337",
            "fax_number": "423-496-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 MEDICAL CENTER DR",
            "address_2": "SUITE D",
            "city": "COPPERHILL",
            "state": "TN",
            "postal_code": "373170990",
            "telephone_number": "423-496-6337",
            "fax_number": "423-496-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER BASIN SURGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "SATTERFIELD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-496-6337",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "DO1884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copperhill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.