NPIMap

Organization Active NPI

K.C. Surgical Associates, PC

  • Surgery Physician
  • Jasper, AL
National Provider Identifier
1952685083
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
31230 Issued in AL
Legal business name
K.C. SURGICAL ASSOCIATES, PC
Practice address
3400 Highway 78 E
Medical Arts Tower #504
Jasper, AL 35501-8907
Phone
(205) 221-7099
NPI assigned
Oct 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Matthew Knight, MD
Title
MD/Owner
Phone
(205) 221-7099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 31230 AL Primary

Addresses

Primary practice location

3400 Highway 78 E
Medical Arts Tower #504
Jasper, AL 35501-8907

Mailing address

3400 Highway 78 E
Medical Arts Tower #504
Jasper, AL 35501-8907

Other names 1

  • Matthew Knight MD PC Former legal business name

National Provider Directory

National Provider Directory

Locations

1446 Jones Dairy Rd
Ste 100
Jasper, AL 35501
Phone (205) 221-4916

3400 Highway 78 E
Ste 504
Jasper, AL 35501
Phone (205) 221-5222

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1952685083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "address_2": "MEDICAL ARTS TOWER #504",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HIGHWAY 78 E",
            "address_2": "MEDICAL ARTS TOWER #504",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018907",
            "telephone_number": "205-221-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K.C. SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "205-221-7099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "31230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew Knight MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.