PRINCETON SURGICAL GROUP INC (NPI# 1649342031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649342031 |
| Entity Type | Organization |
| Organization Name | PRINCETON SURGICAL GROUP INC |
| Practice Address |
508 New Hope Rd Ste 106 Princeton WV 24740-2265 |
| Practice Telephone | 3044252310 |
| Practice Fax Number | 3044873675 |
| Mailing Telephone | 3044252310 |
| Mailing Fax Number | 3044873675 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2014-08-04 |
| Authorized Official Name | DR. GENEROSO D DUREMDES (PRESIDENT) |
| Authorized Official Telephone | 3044252310 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 16015 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0009321000 | 05 |
| Street Address |
508 NEW HOPE RD STE 106 |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578083051 | Julia Rackley Perry Memorial Hospital | Surgery | 530 Park Ave E Ste 205, Princeton, IL 61356-3902 | 2017-06-26 |
| 1548598329 | William Parnelle Burks | Surgery | 1330 The Great Rd., Princeton, NJ 08540 | 2009-12-07 |
| 1225109002 | Generoso D Duremdes | Surgery | 100 New Hope Rd Ste 106, Princeton, WV 24740-2143 | 2006-11-13 |
| 1093802217 | Dr. Carl Hinton, M.d., P.s.c. | Surgery | 407 Us Highway 62 W, Princeton, KY 42445-2409 | 2006-10-09 |
| 1649382227 | Eric Shane Hopkins | Surgery | 201 12th St Extension, Princeton, WV 24740-0201 | 2006-08-31 |
| 1417986001 | Mark Wayne Williams Sr. | Surgery | 530 Park Ave E Ste 303, Princeton, IL 61356-3903 | 2006-07-03 |
| 1568406726 | Izhar A Rana | Surgery | 100 Newhope Rd, Suite 208, Princeton, WV 24740 | 2006-06-16 |
| 1386610095 | Carl B Hinton | Surgery | 323 S Jefferson St, Princeton, KY 42445-2100 | 2006-02-23 |
| 1841262086 | M. Hytham Beck | Surgery | 121 N Hart St, Princeton, IN 47670-1045 | 2006-02-02 |
| 1063775260 | Robert K Brownawell | Surgery | 919 Northland Dr, Princeton, MN 55371-2172 | 2012-06-21 |
| Find all providers in PRINCETON | ||||
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| 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.