Plateau Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PLATEAU SURGERY CENTER

Practice address

79 Fairfield Boulevard
Crossville, TN 38558

Phone

(931) 484-3344

Fax

(931) 456-3671

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

Michael Stewart Galloway, M.D.NPI 1063491421

Title

Owner

Phone

(931) 484-3344

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Plateau Surgery CenterCCN 44C0001171

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Stewart Galloway, M.D.

  • Ophthalmology Physician
  • Crossville, TN
  • NPI 1063491421
  NPD Authorized official
• Brittany B Denaro, DO

  • Ophthalmology Physician
  • Cookeville, TN
  • NPI 1356702773
  NPD (past)

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1952535502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 FAIRFIELD BOULEVARD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38558",
            "telephone_number": "931-484-3344",
            "fax_number": "931-456-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 FAIRFIELD BOULEVARD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38558",
            "telephone_number": "931-484-3344",
            "fax_number": "931-456-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATEAU SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-484-3344",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plateau Medical Group PC
• Plateau Medical Specialist PLLC
• Plateau Pediatrics, PLC
• Plateau Physical Therapy Inc
• Plateau Pulmonology LLC
• Barima Poku, MD
• Kaitlyn Powell, RN
• Kerri M Powell, CPNP
• Lauren Pratt, FNP
• Premise Health of Tennessee Medical PC

• Ambulatory Surgical Clinic/Center in Crossville, TN
• Providers in Crossville, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.