NPIMap

Organization Active NPI

Coatesville Clinic Company, LLC

Doing business as Surgical Associates of Chester County

  • Surgery Physician
  • Coatesville, PA
National Provider Identifier
1942268974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
COATESVILLE CLINIC COMPANY, LLC
Doing business as
Surgical Associates of Chester County
Practice address
213 Reeceville Rd
Suite 23
Coatesville, PA 19320-1528
Phone
(610) 384-6550
Fax
(610) 384-6329
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary Douglas Newsome
Title
Group VP
Phone
(610) 384-6550

Specialties & licenses 1

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

Addresses

Primary practice location

213 Reeceville Rd
Suite 23
Coatesville, PA 19320-1528

Mailing address

213 Reeceville Rd
Suite 23
Coatesville, PA 19320-1528
Phone (610) 384-6550

Other names 1

  • Surgical Associates of Chester County Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coatesville Clinic Company LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942268974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 REECEVILLE RD",
            "address_2": "SUITE 23",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201528",
            "telephone_number": "610-384-6550",
            "fax_number": "610-384-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 REECEVILLE RD",
            "address_2": "SUITE 23",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201528",
            "telephone_number": "610-384-6550",
            "fax_number": "610-384-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COATESVILLE CLINIC COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "GROUP VP",
        "authorized_official_telephone_number": "610-384-6550"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Associates of Chester County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coatesville, PA

Sources for this page

  • 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.