NEW ALBANY SURGICAL GROUP PA (NPI# 1093801367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093801367 |
| Entity Type | Organization |
| Organization Name | NEW ALBANY SURGICAL GROUP PA |
| Practice Address |
226 Starlyn Ave New Albany MS 38652-2428 |
| Mailing Address |
226 Starlyn Ave P.o. Box 891 New Albany MS 38652-2428 |
| Practice Telephone | 6625348159 |
| Mailing Telephone | 6625348159 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-11-28 |
| Authorized Official Name | BRUCE ALLAN BULLWINKEL (PHYSICIAN) |
| Authorized Official Telephone | 6625348159 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 8661 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09011230 | 05 |
| Street Address |
226 STARLYN AVE |
| City | NEW ALBANY |
| State | MS |
| Zip Code | 38652-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104246271 | Heart Attack and Stroke Prevention Center of New Albany, LLC | Clinic/Center | 226 Starlyn Ave, New Albany, MS 38652-2428 | 2014-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
| 1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
| 1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
| 1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
| 1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
| Find all providers in zip 38652 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912040015 | William H. Garner, Md, Inc. | Surgery | 919 E Spring St, New Albany, IN 47150-2944 | 2007-02-15 |
| 1326094806 | Donald Perrin Roten Jr. | Surgery | 500 W Bankhead St, New Albany, MS 38652-3101 | 2006-05-26 |
| 1609841691 | John D Clayton | Surgery | 2125 State St Ste 3, New Albany, IN 47150-4972 | 2006-02-22 |
| 1114910643 | James Y Mccullough Jr. | Surgery | 700 E Spring St, New Albany, IN 47150-2926 | 2005-08-30 |
| 1578561288 | Mason Surgical Clinic, Pllc | Surgery | 301a Oxford Rd, New Albany, MS 38652-3118 | 2005-07-07 |
| 1154329860 | Harvey F Mason | Surgery | 500 West Bankhead Street, New Albany, MS 38652 | 2005-07-07 |
| 1427494046 | John Patrick Mccormick | Surgery | 2125 State St Ste 3, New Albany, IN 47150 | 2013-05-22 |
| 1265708150 | Jordan Brokha Brown | Surgery | 2125 State St Ste 3, New Albany, IN 47150-4972 | 2012-03-26 |
| 1023318987 | Lankford Surgical Associates Pllc | Surgery | 1919 State St, Suite 464, New Albany, IN 47150-4929 | 2010-10-26 |
| 1477790285 | Carolyn Day Md | Surgery | 700 E Spring St, New Albany, IN 47150-2926 | 2009-01-15 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 38652 |
Please comment or provide details below to improve the information on NEW ALBANY SURGICAL GROUP PA.
| 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.