ATHENS SURGICAL ASSOC., P A (NPI# 1487787198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487787198 |
| Entity Type | Organization |
| Organization Name | ATHENS SURGICAL ASSOC., P A |
| Practice Address |
115 Medical Cir Suite 107 Athens TX 75751-9003 |
| Mailing Address |
Po Box C Athens TX 75751-1078 |
| Practice Telephone | 9036755781 |
| Practice Fax Number | 9036771008 |
| Mailing Telephone | 9036755781 |
| Mailing Fax Number | 9036771008 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2012-08-31 |
| Authorized Official Name | MRS. DONNA M PUGH (ADMINISTRATOR) |
| Authorized Official Telephone | 9036755781 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 00N482 | 01 |
| TX | 084202301 | 05 |
| Street Address |
115 MEDICAL CIR SUITE 107 |
| City | ATHENS |
| State | TX |
| Zip Code | 75751-9003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962404756 | Curtis Eric Grey | Family Medicine | 115 Medical Cir, Suite 100f, Athens, TX 75751-9004 | 2005-08-11 |
| 1801231717 | Coker and Qualls, Pa | Family Medicine | 115 Medical Cir, Suite 100, Athens, TX 75751-9124 | 2013-05-06 |
| 1407141120 | James R Qualls | Family Medicine | 115 Medical Cir, Suite 100, Athens, TX 75751-9124 | 2011-06-10 |
| 1922295468 | Jonathan D. Edwards, M.d. | Family Medicine | 115 Medical Cir, Suite 100b, Athens, TX 75751-9124 | 2007-09-28 |
| 1003039348 | Job B Mongare, Md | Specialist | 115 Medical Cir, Suite 102, Athens, TX 75751-9003 | 2007-04-11 |
| 1730246208 | Maung Maung Oo | Internal Medicine | 115 Medical Cir, Suite 106, Athens, TX 75751-9004 | 2007-01-03 |
| 1114009289 | Danny P Pugh | Surgery | 115 Medical Cir, Suite 107, Athens, TX 75751-9004 | 2006-10-19 |
| 1801805700 | Mary K Endres | Nurse Practitioner | 115 Medical Cir, Suite 100b, Athens, TX 75751-9003 | 2006-08-07 |
| 1942237078 | Christopher R Johnson | Internal Medicine | 115 Medical Cir, Suite 108, Athens, TX 75751-9124 | 2006-06-26 |
| 1932141264 | Christopher R. Johnson, M.d., P.a. | Pediatrics | 115 Medical Cir, Suite 108, Athens, TX 75751-9124 | 2006-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414810 | Morghan Jungman | Physical Therapy Assistant | 6444 South Palestine St, Athens, TX 75751 | 2020-04-01 |
| 1497313340 | Rebecca Lynne Moehlenbrock | Physical Therapy Assistant | 711 Lucas Dr., Athens, TX 75751 | 2019-06-04 |
| 1013487669 | Jammie Jae Chaney | Licensed Vocational Nurse | 207 Colonial Circle, Athens, TX 75751 | 2018-11-27 |
| 1215423397 | Valarie M Chambless | Registered Nurse | 1505 Hwy. 19 South, Athens, TX 75751 | 2018-07-02 |
| 1609378181 | Jennifer Lynn Griffith | Occupational Therapist | 907 S Palenstine St., Athens, TX 75751 | 2018-03-01 |
| 1285931832 | Leonard J Barbarisi | Surgery | 6444 S Palestine, Athens, TX 75751 | 2011-02-17 |
| 1801123104 | Paul J Michiels | Family Medicine | 5313 Fm 2494, Athens, TX 75751 | 2009-11-06 |
| 1851527550 | Jordan Risinger | Dentist | 800 S. Palestine St., Athens, TX 75751 | 2009-06-08 |
| 1306005798 | Shawn Tai | Internal Medicine | 115 Medical Cir Ste 106, Athens, TX 75751 | 2008-06-02 |
| 1083730683 | Assisted Living Concepts Inc | Assisted Living Facility | 213 Cayuga Drive, Athens, TX 75751 | 2007-03-22 |
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| 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 |
|---|---|---|---|---|
| 1215373709 | Jan Beck | Surgery | 105 Old Hopkins St, Athens, PA 18810-1005 | 2013-05-11 |
| 1285931832 | Leonard J Barbarisi | Surgery | 6444 S Palestine, Athens, TX 75751 | 2011-02-17 |
| 1902136146 | James Freeland Griffin | Surgery | 242 King Ave Ste 220, Athens, GA 30606 | 2010-01-11 |
| 1740423839 | Robert Bryan Dorman | Surgery | 115 Medical Cir Ste 107, Athens, TX 75751-9004 | 2009-04-20 |
| 1912104712 | Athens Surgical Group PC | Surgery | 740 Prince Ave Bldg 8a, Athens, GA 30606-5903 | 2007-06-27 |
| 1396875241 | Athens General & Colorectal Surgeons, PC | Surgery | 740 Prince Ave Ste 10, Athens, GA 30606-5903 | 2007-03-07 |
| 1992721500 | Riikka P Mohorn | Surgery | 242 King Avenue, Suite 220, Athens, GA 30606 | 2006-07-15 |
| 1417917832 | Prabhakara Babu Ravi | Surgery | 102 Sanders St, Athens, AL 35611-2418 | 2006-03-28 |
| 1467432658 | Bradley Alan Bryan | Surgery | 75 Hospital Dr Ste 310, Athens, OH 45701-2860 | 2006-01-23 |
| 1982684361 | Charles Boggess Cox | Surgery | 503 W Madison Ave, Athens, TN 37303-3489 | 2006-01-20 |
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| 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.