SPECTRUM SURGICAL LLC


Address: 3142 Highway 278 Nw # 135, Covington, GA 30014-2304
Phone: 6785162119

SPECTRUM SURGICAL LLC (NPI# 1639704307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639704307
Entity Type Organization
Organization Name SPECTRUM SURGICAL LLC
Practice Address 3142 Highway 278 Nw # 135
Covington
GA 30014-2304
Practice Telephone 6785162119
Mailing Telephone 6785162119
Enumeration Date 2020-03-03
Last Update Date 2020-03-03
Authorized Official Name FRANK PAUL TANNER (CERTIFIED SURGICAL ASSISTANT)
Authorized Official Telephone 6785162119
Authorized Official Credential CSFA, SA-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3142 HIGHWAY 278 NW # 135
City COVINGTON
State GA
Zip Code 30014-2304

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1356834360 Covington Dental Care Dentist 4139 Baker Street, Suite 15, Covington, GA 30014 2018-06-13
1487190005 New Avenues Assessment and Counseling Center LLC Counselor 3192 Spring Street, Covington, NEWTON 30014 2017-01-07
1275903973 Jennifer Carol Bridges Registered Nurse 320 Malcom Lane, Covington, GA 30014 2015-10-07
1134598501 Shelby Boggus King Physician Assistant 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 2015-09-16
1366829814 Wendy Pazdur Counselor 5109 Hwy 278 East, Suite D, Covington, GA 30014 2015-05-05
1306235445 Covington Center for Family Dentistry Dentist 10373 Industrial Blvd, Covington, GA 30014 2015-01-13
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104423151 Osler Surgical Services LLC Physician Assistant 929 Tezcucco Ct, Covington, LA 70433-8157 2020-10-02
1710291950 Alisha N Turner Physician Assistant 115 Timberlake Ter, Covington, GA 30016-1352 2010-07-29
1154595676 Stephanie Ingram Physician Assistant 65 Mote Crossing Rd, Covington, GA 30016-5253 2008-04-16
1134336258 Christopher J Salsman Physician Assistant 429 Place Saint Michel, Covington, LA 70433-8136 2007-05-17
1811047020 Anilkumar Ambalal Patel Physician Assistant 1075 Hwy 190 E Service Road, Suite 200, Covington, LA 70433 2007-01-11
1457715930 Garrett Michael Simoneaux Physician Assistant 76 Starbrush Cir, Covington, LA 70433-7208 2016-04-11
1659677474 Turner Surgical Services Physician Assistant 115 Timberlake Ter, Covington, GA 30016-1352 2011-01-27
1538462502 Jessica L. Harvey Physician Assistant 1000 Ochsner Blvd, Covington, LA 70433-8107 2010-12-14
1972822062 Sgi Surgical LLC Physician Assistant 65 Mote Crossing Rd, Covington, GA 30016-5253 2010-05-27
1871614586 Richard Dale Springer Physician Assistant 1202 S Tyler St, St Tammy Parish Hospital, Covington, LA 70437 2007-04-02
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Competitor

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City COVINGTON
Zip Code 30014

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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