Muncie Surgical Associates, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MUNCIE SURGICAL ASSOCIATES, INC

Practice address

2525 W University Ave
Suite 403
Muncie, IN 47303-3409

Phone

(765) 289-6381

Fax

(765) 289-3883

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Burrell, M.D.

Title

Corporation President

Phone

(765) 289-6381

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1972687242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W UNIVERSITY AVE",
            "address_2": "SUITE 403",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033409",
            "telephone_number": "765-289-6381",
            "fax_number": "765-289-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W UNIVERSITY AVE",
            "address_2": "SUITE 403",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033409",
            "telephone_number": "765-289-6381",
            "fax_number": "765-289-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNCIE SURGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "765-289-6381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB3113",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.