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SURGICAL ASSOCIATES OF SOUTHWEST VIRGINIA LLC NPI 1801831524


NPI Information

NPI: 1801831524
Provider Name: SURGICAL ASSOCIATES OF SOUTHWEST VIRGINIA, LLC

Other Name: SURGICAL ASSOCIATES OF SW VIRGINIA, LLC (MISTAKE)

Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 49D1048862

Address:
2460 LEE HIGHWAY N
SUITE 4
PULASKI, VA
ZIP 24301
Phone: (540) 980-9660
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SURGICAL ASSOCIATES OF SOUTHWEST VIRGINIA, LLC is a surgery in Pulaski, VA. 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. SURGICAL ASSOCIATES OF SOUTHWEST VIRGINIA, LLC NPI is 1801831524. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Surgical Associates Of Sw Virginia, Llc (mistake).

The provider's business location address is:

2460 LEE HIGHWAY N
SUITE 4
PULASKI, VA
ZIP 24301
Phone: (540) 980-9660
Fax: (540) 980-9663

The provider's authorized official is Benjamin Calkins .
The authorized official title is Vice President and has the following contact phone number (804) 237-7776.

The CLIA number assigned to this NPI record is 49D1048862 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/17/2006 and was last updated on 12/22/2014.


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
1208600000XSurgeryYes

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
1C09533MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
21801831524MEDICAIDVIRGINIA

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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