SURGERY CLINIC, LLC


Address: 320 Branscomb Dr Sw, Suite B, Jacksonville, AL 36265-3101
Phone: 2565476331

SURGERY CLINIC, LLC (NPI# 1780068460) 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) 1780068460
Entity Type Organization
Organization Name SURGERY CLINIC, LLC
Practice Address 320 Branscomb Dr Sw
Suite B
Jacksonville
AL 36265-3101
Mailing Address 419 S 5th St
Gadsden
AL 35901-5101
Practice Telephone 2565476331
Practice Fax Number 2565471711
Mailing Telephone 2565476331
Mailing Fax Number 2565471711
Enumeration Date 2015-07-13
Last Update Date 2015-08-03
Authorized Official Name MRS. DIANETTE KEENER (BILLING MANAGER)
Authorized Official Telephone 2565476331
Is Organization Subpart Y
Parent Organization Name THE SURGERY CLINIC, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0129X Surgery
Specialization: Vascular Surgery
Allopathic & Osteopathic Physicians
Y 208600000X Surgery AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL 528202650 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1851681183 Surgery Clinic, LLC Surgery 395 Northwood Dr, Centre, AL 35960-1045 2011-04-07
1205893732 Surgery Clinic, LLC Surgery 419 S 5th St, Gadsden, AL 35901-5101 2006-04-27

Office Location

Street Address 320 BRANSCOMB DR SW
SUITE B
City JACKSONVILLE
State AL
Zip Code 36265-3101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790723211 Countryside Hospice Care Inc Hospice Care, Community Based 320 Branscomb Dr Sw, Suite D, Jacksonville, AL 36265 2006-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700436144 Griffin Loflin Specialist/Technologist 775 Park Ave Nw, Attn. Sports Medicine, Jacksonville, AL 36265 2019-09-17
1114304011 Caroline Ross Counselor 1215 Jackson Way Sw, Jacksonville, AL 36265 2015-04-29
1083001226 Tracey Hudgins Counselor 1215 Jackson's Way, Jacksonville, AL 36265 2015-04-24
1235415118 Adam Pike Pharmacist 311 Pelham Rd So, Jacksonville, AL 36265 2011-10-24
1386829489 Physicians Choice Dialysis of Jacksonville, LLC Clinic/Center 331 Henry Road Sw, Jacksonville, AL 36265 2008-01-08
1659409365 Kenneth Wayne Campbell Nurse Anesthetist, Certified Registered 1701 Pelham Road, Jacksonville Medical Center, Jacksonville, AL 36265 2007-03-02
1154478378 Diana C. Ford Counselor 1250 Jackson's Way, Garrett Counseling Center, Jacksonville, AL 36265 2007-01-03
1487710950 James Richard Morrison Chiropractor 1550 Pelham Rd. S., Jacksonville, AL 36265 2006-12-29
1447332937 Millennium Anesthesia Services Anesthesiology 1701 Pelham Road S, Jacksonville, AL 36265 2006-10-20
1407943228 Brunda Revanna, Md Clinic/Center 1465 A 1st Ave Sw Ste C, Jacksonville, AL 36265 2006-10-05
Find all providers in zip 36265

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003441981 Comprehensive Care Partners Surgery 3101 University Blvd S Ste 100, Jacksonville, FL 32216-2750 2020-03-11
1922577626 Grettel Wentling Surgery 7915 Turnstone Cir E, Jacksonville, FL 32256-2358 2018-11-26
1083030977 Min Li Xu Surgery 2 Shircliff Way Ste 500, Jacksonville, FL 32204-4763 2014-03-15
1518300128 Michel Joseph Sabra Surgery 5053 Toproyal Ln, Jacksonville, FL 32277 2013-04-12
1437414935 Daniel Richard Martin Surgery 4205 Belfort Rd Ste 3030, Jacksonville, FL 32216-1474 2012-07-10
1356602221 Jan-michael Van Gent Surgery Navy Medicine Support Command Attn: Medical Staff Serv., Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 2012-06-06
1710245840 Lenka Zachar Md Plc Surgery 3 Shircliff Way Ste 500, Jacksonville, FL 32204-4757 2012-04-26
1992015812 Ashok Roychoudhury, M.d., P.a. Surgery 2032a Southside Blvd, Jacksonville, FL 32216-1944 2010-10-13
1558682054 Jonathan Robert Gower Surgery Bldg H 2005 Knight Lane, Attn: Medical Staff Services, Navy Medicine Support Command, Jacksonville, FL 32212-0140 2010-06-18
1851612683 Jason Bradley Brill Surgery Bldg H 2005 Knight Ln, Navy Medicine Support Command, Attn Medical Staff Serv, Jacksonville, FL 32212 2010-06-16
Find all providers in JACKSONVILLE

Competitor

Search similar providers

City JACKSONVILLE
Zip Code 36265

Improve Information

Please comment or provide details below to improve the information on SURGERY CLINIC, LLC.

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.

Trending Searches