Starkville Surgical Clinic Pa in Louisville - Surgery
Starkville Surgical Clinic Pa - NPI 1609963065
Starkville Surgical Clinic Pa is a Surgery in Louisville, Mississippi. Starkville Surgical Clinic Pa practices all healthcare services and medical treatments related to Surgery. The NPI Number for Starkville Surgical Clinic Pa is 1609963065. The last update date is 2020-08-22.
Starkville Surgical Clinic Pa's current location address is 547 E Main St, Louisville, Mississippi. You can contact this provider via phone number 6637738574 and fax number 6627737934. The mailing address for Starkville Surgical Clinic Pa is 547 E Main St, Louisville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Starkville Surgical Clinic Pa |
|---|---|
| Address | 547 E Main St, Louisville, Mississippi |
| Phone Number | 6637738574 |
| Fax Number | 6627737934 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Orgler John Raymond |
| Credentials | MD |
| Telephone Number | 6627738574 |
NPI Number Detail
| NPI Number | 1609963065 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 547 E Main St |
|---|---|
| City | Louisville |
| State | Mississippi (MS) |
| Post Code | 393390358 |
| Phone Number | 6637738574 |
| Fax Number | 6627737934 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 8215 |
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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; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9011566 | MS | -- | |
| 119388 | MS | -- |
Post Comment/ Review Below
What is the Starkville Surgical Clinic Pa's unique identification number?
The Starkville Surgical Clinic Pa has been assigned the NPI (National Provider Identifier) Number 1609963065 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Starkville Surgical Clinic Pa?
The Starkville Surgical Clinic Pa is physically situated at 547 E Main St, in the city of Louisville, state of MS, with the postal code 393390358.
What is Starkville Surgical Clinic Pa's area of expertise and its corresponding taxonomy classification?
The Starkville Surgical Clinic Pa's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
When did the Starkville Surgical Clinic Pa receive its 1609963065?
The Starkville Surgical Clinic Pa was issued its 1609963065 on 2006-10-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Starkville Surgical Clinic Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Starkville Surgical Clinic Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.