SOUTHSIDE SURGICAL SPECIALISTS PC (NPI# 1619068673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619068673 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE SURGICAL SPECIALISTS PC |
| Practice Address |
159 Executive Dr Ste B Danville VA 24541-4160 |
| Practice Telephone | 4347925964 |
| Practice Fax Number | 4347925971 |
| Mailing Telephone | 4347925964 |
| Mailing Fax Number | 4347925971 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MRS. JOAN C MARTIN (OFFICE MANAGER) |
| Authorized Official Telephone | 4347925964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0101232606 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 7312580 | 05 | |
| VA | 010151163 | 05 | |
| VA | 007300107 | 05 | |
| VA | 007308345 | 05 |
| Street Address |
159 EXECUTIVE DR STE B |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541-4160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| Find all providers in zip 24541 | ||||
| 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 |
|---|---|---|---|---|
| 1811284870 | Surgical Assist of Northern California | Surgery | 53 Saint Mark Ct, Danville, CA 94526-5326 | 2011-06-28 |
| 1598907743 | Halle Ellison | Surgery | 100 Justin Drive, Danville, PA 17822-7975 | 2009-04-02 |
| 1568627529 | Tamara T Myers | Surgery | 100 North Academy Avenue, Mc 21-70, Geisinger Medical Center, Department of General Surgery, Danville, PA 17821 | 2008-07-18 |
| 1235303256 | Maryfrances Koester | Surgery | Geisinger Medicial Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2008-04-22 |
| 1144424458 | Monet Williams Bowling | Surgery | 112 Hospital Ln Ste 100, Danville, IN 46122 | 2007-06-12 |
| 1467655779 | Tara Beth Mancl | Surgery | 109 Bridge St Ste 202, Danville, VA 24541-1222 | 2007-06-06 |
| 1558411199 | Lemoyne Rheul Pringle | Surgery | 998 E Main St Ste 101, Danville, IN 46122-1900 | 2007-01-12 |
| 1801944236 | Paul P Deluca | Surgery | 130 Daniel Drive, Danville, KY 40423-0129 | 2007-01-08 |
| 1194806620 | James Savage | Surgery | 800 N Logan Ave Ste 204, Danville, IL 61832-3741 | 2006-10-18 |
| 1255429221 | Serving Hands Inc | Surgery | 998 E Main St Ste 102, Danville, IN 46122-1900 | 2006-10-11 |
| Find all providers in DANVILLE | ||||
Please comment or provide details below to improve the information on SOUTHSIDE SURGICAL SPECIALISTS PC.
| 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.