Theodore M Surdy (NPI# 1063463347, PAC ID# 5799673505) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1063463347 |
| PAC ID by PECOS | 5799673505 |
| Professional Enrollment ID | I20070503000476 |
| Full Name | Theodore M Surdy |
| Organization Legal Name | SURDY PSYCHOLOGICAL SERVICES LLC |
| Address |
1207 Caledonia St Mankato MN 56001-4329 |
| Phone Number | 5073888874 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 6709162811 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1207 Caledonia St, Mankato, MN 56001-4329 | 5073888874 | SURDY PSYCHOLOGICAL SERVICES LLC |
| Organization Legal Name | SURDY PSYCHOLOGICAL SERVICES LLC |
| Physicians | 1 |
| Street Address |
1207 CALEDONIA ST |
| City | MANKATO |
| State | MN |
| Zip | 56001-4329 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica J Schugel | Chiropractic | 816 A S Front St, Mankato, MN 56001-2401 | |
| Paula E Prybylla | Chiropractic | 800 S Front St, Mankato, MN 56001-2401 | |
| Debbie L Carstens | Certified Clinical Nurse Specialist (cns) | 1008 S Front St, Mankato, MN 56001-2405 | |
| Darren J Tungsvik | Clinical Social Worker | Wisconsin Lutheran Child and Family Service Inc | 421 E Hickory St, Suite 402, Mankato, MN 56001-2637 |
| Bryce D Anderson | Chiropractic | 500 S Broad St, Suite 102, Mankato, MN 56001-2692 | |
| Stephanie W Putzier | Internal Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Thomas J Brennan | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Katherine A Anderson | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Malati V Pamulapati | Family Medicine | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Karie M Soost | Physician Assistant | Mankato Clinic, Ltd. | 170 Good Counsel Dr, Mankato, MN 56001-3138 |
| Find all physicians in zip 56001 | |||
| City | MANKATO |
| Zip Code | 56001 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | MANKATO + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Theodore M Surdy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.