NPIMap

Organization Active NPI

Agapee Surgical Associates Inc.

  • Surgery Physician
  • Madison, TN
National Provider Identifier
1891782637
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD19524 Issued in TN
Legal business name
AGAPEE SURGICAL ASSOCIATES INC.
Practice address
607 W Due West Ave Ste 102
Madison, TN 37115-4420
Phone
(615) 868-2229
Fax
(615) 868-3635
NPI assigned
Oct 5, 2005
Last updated
Feb 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Alfred Eddie Shaw, M.D.NPI 1730176579
Title
Physician
Phone
(615) 868-2229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD19524 TN Primary

Addresses

Primary practice location

607 W Due West Ave Ste 102
Madison, TN 37115-4420

Mailing address

607 W Due West Ave Ste 102
Madison, TN 37115-4420
Phone (615) 868-2229

National Provider Directory

National Provider Directory

Locations

607 W Due West Ave
Ste 102
Madison, TN 37115
Phone (615) 868-2229

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1891782637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE STE 102",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154420",
            "telephone_number": "615-868-2229",
            "fax_number": "615-868-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE STE 102",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154420",
            "telephone_number": "615-868-2229",
            "fax_number": "615-868-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPEE SURGICAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "EDDIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "615-868-2229",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD19524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.