PARIS SURGICAL SPECIALISTS, P.L.L.C. (NPI# 1790701654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790701654 |
| Entity Type | Organization |
| Organization Name | PARIS SURGICAL SPECIALISTS, P.L.L.C. |
| Practice Address |
235 Tyson Ave Paris TN 38242-4544 |
| Practice Telephone | 7316443211 |
| Practice Fax Number | 7316441552 |
| Mailing Telephone | 7316443211 |
| Mailing Fax Number | 7316441552 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | STACIA LYNN PUCKETT (OFFICE MANAGER) |
| Authorized Official Telephone | 7316443211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE GROUP | DB4003 | 01 |
| Street Address |
235 TYSON AVE |
| City | PARIS |
| State | TN |
| Zip Code | 38242-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770509705 | Andrew Hayward Lundberg | Surgery | 235 Tyson Ave, Paris, TN 38242-4544 | 2006-07-14 |
| 1104939230 | Jason Louis Harper | Surgery | 235 Tyson Ave, Paris, TN 38242-4544 | 2006-08-15 |
| 1366461071 | Raymond Powell Compton | Surgery | 235 Tyson Ave, Paris, TN 38242-4544 | 2006-07-19 |
| 1609895382 | Russell Wayne Boyd | Surgery | 235 Tyson Ave, Paris, TN 38242-4544 | 2006-07-19 |
| 1689693376 | Amy P Boyd | Anesthesiology | 235 Tyson Ave, Paris, TN 38242-4544 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374732 | Renee Michelle Girouard | Physician Assistant | 209 B Tyson Ave, Paris, TN 38242 | 2020-04-07 |
| 1255960134 | Alexander P Patrone | Student in an Organized Health Care Education/Training Program | 302b Tyson Ave, Paris, TN 38242 | 2020-04-03 |
| 1457980302 | Aswathy Krishnakumar | Student in an Organized Health Care Education/Training Program | 302b Tyson Avenue, Paris, TN 38242 | 2020-04-03 |
| 1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
| 1588199152 | Taylor Wilson | Dentist | 3485 Highway 79 N, Paris, TN 38242 | 2017-04-20 |
| 1215472592 | Elizabeth Lane Mcintosh | Behavioral Analyst | 28 Fieldstone Dr, Paris, TN 38242 | 2016-12-22 |
| 1124574959 | Patty Wilson | Counselor | 2555 E. Wood Street, Paris, TN 38242 | 2016-08-31 |
| 1942601539 | Trustworthy Anesthesia Care | Nurse Anesthetist, Certified Registered | 1010 Green Hill Dr, Paris, TN 38242 | 2014-09-15 |
| 1083963946 | West Tennessee Physical Medicine, Pllc | General Practice | 1024 Mineral Wells Avenue, Paris, TN 38242 | 2012-09-06 |
| 1316242514 | Henry Co. Health Dept. | Skilled Nursing Facility | 803 Joy St., Paris, TN 38242 | 2011-01-19 |
| Find all providers in zip 38242 | ||||
| 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 |
|---|---|---|---|---|
| 1770509705 | Andrew Hayward Lundberg | Surgery | 235 Tyson Ave, Paris, TN 38242-4544 | 2006-07-14 |
| 1073541090 | Mark Robert Campbell | Surgery | 420 N Collegiate Dr, Ste 300, Paris, TX 75460 | 2006-06-29 |
| 1992754576 | Toby D Crumpler | Surgery | 170 8th St Se, Paris, TX 75460-5917 | 2006-05-09 |
| 1982601399 | Joseph G. Fine | Surgery | 8 Linville Dr, Suite B, Paris, KY 40361-2128 | 2005-06-30 |
| 1578569976 | Harry Michael Lewis | Surgery | 707 Lamar Ave, Ste C2, Paris, TX 75460-4460 | 2005-06-22 |
| 1477991297 | Yaniv Cozacov | Surgery | 727 E Court St, Paris, IL 61944 | 2013-06-14 |
| 1316225113 | Jihui Li | Surgery | 727 E Court St, Paris, IL 61944-2460 | 2011-07-27 |
| 1407067267 | Michael D. Brown, Jr., D.o., Pa | Surgery | 1055 Clarksville St, Suite 155, Paris, TX 75460-6097 | 2007-05-24 |
| 1427101765 | Michael Dewayne Brown Jr. | Surgery | 1055 Clarksville St, Suite 155, Paris, TX 75460-6097 | 2007-01-19 |
| 1750461828 | Duane Leroy Haskell | Surgery | 727 E Court St, Paris, IL 61944-2460 | 2006-10-16 |
| Find all providers in PARIS | ||||
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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.