LVD Surgical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

053131 Issued in GA

Legal business name

LVD SURGICAL ASSOCIATES

Practice address

1 Baltimore PL NW
Atlanta, GA 30308-2116

Phone

(404) 815-7951

Fax

(404) 815-7953

NPI assigned

Nov 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Latara V Demps, MD

Title

MD

Phone

(404) 815-7951

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1982958591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 QUEENSBROOKE WAY",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301266413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALTIMORE PL NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082116",
            "telephone_number": "404-815-7951",
            "fax_number": "404-815-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LVD SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "DEMPS",
        "authorized_official_first_name": "LATARA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "404-815-7951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "053131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1457361206",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.