Organization Active NPI

Surgical Group a Medical Corporation

  • Specialist
  • New Iberia, LA
National Provider Identifier
1891955415
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SURGICAL GROUP A MEDICAL CORPORATION
Practice address
602 N Lewis St
Ste 100
New Iberia, LA 70563-2093
Phone
(337) 364-7226
Fax
(337) 364-7238
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Dr. Kurt Byrnes O'Brien, M.D.
Title
President
Phone
(337) 364-7226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

602 N Lewis St
Ste 100
New Iberia, LA 70563-2093

Mailing address

602 N Lewis St
Ste 100
New Iberia, LA 70563-2093
Phone (337) 364-7226

Other identifiers 1

IdentifierTypeStateIssuer
1554821MedicaidLA

National Provider Directory

National Provider Directory

Locations

602 N Lewis St
Ste 100
New Iberia, LA 70563
Phone (318) 364-7226

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1891955415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 N LEWIS ST",
            "address_2": "STE 100",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632093",
            "telephone_number": "337-364-7226",
            "fax_number": "337-364-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N LEWIS ST",
            "address_2": "STE 100",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632093",
            "telephone_number": "337-364-7226",
            "fax_number": "337-364-7238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL GROUP A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "BYRNES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-364-7226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1554821",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.