Watauga Surgical Group Pa
LBN: Watauga Surgical Group Pa
Watauga Surgical Group Pa is an health care organization with primary practice located at 965 State Farm Rd , Boone NC 28607-4948. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Watauga Surgical Group Pa can be contacted via phone (828) 264-2340, or through Dagher, Dagher S via phone (828) 264-2340.
Contact Information
Primary practice address
965 State Farm Rd
Boone NC 28607-4948
Phone: (828) 264-2340
Fax: (828) 262-0731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | ||
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X |
Profile Details
| NPI number | 1588653489 |
|---|---|
| LBN Legal business name | Watauga Surgical Group Pa |
| DBA Doing business as | |
| Authorized official | Dagher, Dagher S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Apr 24th, 2015 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588653489 | NPPES |
| North Carolina | MEDICAID | 8902879 |
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