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NEW ALBANY SURGICAL GROUP PA NPI 1093801367


NPI Information

NPI: 1093801367
Provider Name: NEW ALBANY SURGICAL GROUP PA
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
226 STARLYN AVE
NEW ALBANY, MS
ZIP 38652
Phone: (662) 534-8159
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NEW ALBANY SURGICAL GROUP PA is a surgery in New Albany, MS. The provider is 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. NEW ALBANY SURGICAL GROUP PA NPI is 1093801367. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

226 STARLYN AVE
NEW ALBANY, MS
ZIP 38652-428
Phone: (662) 534-8159

The provider's authorized official is Bruce Allan Bullwinkel .
The authorized official title is Physician and has the following contact phone number (662) 534-8159.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 11/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery8661MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C00536MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIGROUP NUMBER
209011230MEDICAIDMISSISSIPPI
3D80612MEDICARE UPINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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