Fresno Neurosurgical Medical Group, Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G14465 Issued in CA

Legal business name

FRESNO NEUROSURGICAL MEDICAL GROUP, INC

Practice address

7797 N 1St St # 18
Fresno, CA 93720-0962

Phone

(559) 281-4936

Fax

(559) 298-3540

NPI assigned

Feb 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

V. Roy Smith, MD

Title

President

Phone

(559) 281-4936

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902947252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7797 N 1ST ST # 18",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200962",
            "telephone_number": "559-281-4936",
            "fax_number": "559-298-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7797 N 1ST ST # 18",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200962",
            "telephone_number": "559-281-4936",
            "fax_number": "559-298-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO NEUROSURGICAL MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "V.",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-281-4936",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G14465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurological Surgery Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.