Northside Surgical Associate in Jasper - Surgery
Northside Surgical Associate - NPI 1740355338
Northside Surgical Associate is a Surgery in Jasper, Georgia. Northside Surgical Associate practices all healthcare services and medical treatments related to Surgery. The NPI Number for Northside Surgical Associate is 1740355338. The last update date is 2008-05-22.
Northside Surgical Associate's current location address is 80 Interstate South Dr, Jasper, Georgia. You can contact this provider via phone number 7066929081 and fax number 7066920155. The mailing address for Northside Surgical Associate is 80 Interstate South Dr, Jasper, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northside Surgical Associate |
|---|---|
| Address | 80 Interstate South Dr, Jasper, Georgia |
| Phone Number | 7066929081 |
| Fax Number | 7066920155 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CO OWNER |
|---|---|
| Authorized Official Name | Langella L Rosa |
| Credentials | M.D. |
| Telephone Number | 7066929081 |
NPI Number Detail
| NPI Number | 1740355338 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 80 Interstate South Dr |
|---|---|
| City | Jasper |
| State | Georgia (GA) |
| Post Code | 301436226 |
| Phone Number | 7066929081 |
| Fax Number | 7066920155 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
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; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| H9749 | GA | RAILROAD MEDICARE GROUP | |
| 300021256A | GA | -- |
Post Comment/ Review Below
What is the Northside Surgical Associate's unique identification number?
The Northside Surgical Associate has been assigned the NPI (National Provider Identifier) Number 1740355338 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Northside Surgical Associate's facilities are geographically located?
The facilities of Northside Surgical Associate are physically situated at the following location: 80 Interstate South Dr, Jasper, GA, 301436226.
What is Northside Surgical Associate's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Northside Surgical Associate is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
When was the Northside Surgical Associate's 1740355338 issued?
The Northside Surgical Associate's 1740355338 was issued on 2006-11-21.
When was the information pertaining to Northside Surgical Associate most recently updated or revised?
The details related to Northside Surgical Associate, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-22.
NPI Number: 1073517686
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