GOLDSBORO SURGICAL ASSOCIATES, PA (NPI# 1851546758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851546758 |
Entity Type | Organization |
Organization Name | GOLDSBORO SURGICAL ASSOCIATES, PA |
Practice Address |
619 Old Symsonia Road Suite A Benton KY 42025-5042 |
Practice Telephone | 2705277400 |
Practice Fax Number | 2705272211 |
Mailing Telephone | 2705277400 |
Mailing Fax Number | 2705272211 |
Enumeration Date | 2008-11-20 |
Last Update Date | 2009-09-30 |
Authorized Official Name | DR. ROBERT W BEALE (PRESIDENT) |
Authorized Official Telephone | 2705277400 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 32012 | KY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | ANTHEM | 000000604915 | 01 |
Street Address |
619 OLD SYMSONIA ROAD SUITE A |
City | BENTON |
State | KY |
Zip Code | 42025-5042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992724645 | Robert Beale | Surgery | 619 Old Symsonia Road, Suite A, Benton, KY 42025-5042 | 2006-07-19 |
1831107499 | Benton Medical and Surgical Associates, Psc | Surgery | 619 Old Symsonia Road, Suite A, Benton, KY 42025-5042 | 2006-08-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073862843 | Elisha Dougherty | Pharmacist | 1004 Big Bear Hwy, Benton, KY 42025 | 2012-09-07 |
1730310285 | Benton Chiropractic, Pllc | Chiropractor | 141 Commerce Blvd, Benton, KY 42025 | 2009-07-31 |
1689813594 | Murray Calloway County Public Hospital | Internal Medicine | 543 Powell St, Benton, KY 42025 | 2009-02-17 |
1912159864 | William J Barabas | Physical Therapist | 244 Us Hwy 68 East, Benton, KY 42025 | 2008-10-22 |
1447419031 | Mary Jane Darnell | Occupational Therapy Assistant | 2607 Main Street, Benton, KY 42025 | 2008-06-09 |
1710176540 | Karen Diane Reed | Counselor | 198 Old Symsonia Road, Suite 107, Benton, KY 42025 | 2007-10-17 |
1255475794 | Community Alternatives Kentucky, Inc. | Home Health | 402 Caky Drive, Benton, KY 42025 | 2007-02-17 |
1477605988 | Marshall County Medical Associates | Family Medicine | 145 Vine Street, Benton, KY 42025 | 2007-01-17 |
1376604256 | Marshall County Assn. for Exceptional Children and Adults, Inc | Day Training, Developmentally Disabled Services | 198 Old Symsonia Road, Benton, KY 42025 | 2006-12-13 |
1023111929 | Benton Health Care, LLC | Nurse Practitioner | 414 East 12th Street, Benton, KY 42025 | 2006-09-06 |
Find all providers in zip 42025 |
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 |
---|---|---|---|---|
1609092816 | James Myron Stern | Surgery | 551 Us Hwy 68 West, Benton, KY 42025-0551 | 2007-04-17 |
1992724645 | Robert Beale | Surgery | 619 Old Symsonia Road, Suite A, Benton, KY 42025-5042 | 2006-07-19 |
1558678276 | Saline Physician Services, LLC | Surgery | 5 Medical Park Dr, Suite Gl2, Benton, AR 72015-3729 | 2010-09-01 |
1770745523 | Kristin Patton | Surgery | 5 Medical Park Dr, Suite 102, Benton, AR 72015-3729 | 2008-07-01 |
1629257266 | Michael J Schmidt | Surgery | 5 Medical Park Dr, Suite Gl-2, Benton, AR 72015-3729 | 2007-10-31 |
1093832651 | James Durham | Surgery | 205 Bailey Ln, Benton, IL 62812-1921 | 2007-03-26 |
1871627737 | Jerry W. Dixon, M.d., P.a. | Surgery | 3 Medical Park Dr, Suite 201, Benton, AR 72015-3728 | 2007-03-15 |
1831107499 | Benton Medical and Surgical Associates, Psc | Surgery | 619 Old Symsonia Road, Suite A, Benton, KY 42025-5042 | 2006-08-03 |
1316970148 | Jerry W Dixon | Surgery | 3 Medical Park Dr, 201, Benton, AR 72015-3728 | 2006-07-07 |
1407883044 | Lewis E Porter | Surgery | 5 Medical Park Dr, Suite Gl2, Benton, AR 72015-3729 | 2006-06-27 |
Find all providers in BENTON |
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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.