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MANCHESTER SURGICAL ASSOC
NPI 1205912102
Surgery in Manchester, TN

Active since October 31, 2006
1239 MCARTHUR DRIVE, MANCHESTER, TN 37355(931) 728-5879(931) 728-5881 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Manchester Surgical Assoc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANCHESTER SURGICAL ASSOC (NPI 1205912102) is a healthcare organization registered as a surgery in Manchester, Tennessee and active in the NPI registry since October 2006. The organization lists J David Sullivan, General Surgeon, as its authorized official.

NPPES Registry Identity

NPI1205912102
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMANCHESTER SURGICAL ASSOC
Location Address1239 MCARTHUR DRIVEManchester, TN 37355-2423
Mailing AddressPo Box 1228Manchester, TN 37349-1228 · (931) 728-5879 · Fax (931) 728-5881
Phone(931) 728-5879
Fax(931) 728-5881
Organization SubpartNo
Authorized OfficialJ David SullivanGeneral Surgeon · (931) 728-5879
Enumeration DateOctober 31, 2006
Last NPPES UpdateAugust 27, 2008
✔ NPI 1205912102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · DO0000000201
Definition
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.
1239 MCARTHUR DRIVE, Manchester, TN 37355
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Other Identifiers 3

Medicare PIN3301339TN
Medicare UPIND74216
Medicaid3301339TN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manchester Surgical Assoc's NPI number?

The NPI number for Manchester Surgical Assoc is 1205912102. It was assigned to this organization in the NPPES registry on October 31, 2006.

Where is Manchester Surgical Assoc located?

Manchester Surgical Assoc is located at 1239 Mcarthur Drive, Manchester, TN 37355. The listed phone number is (931) 728-5879.

What is Manchester Surgical Assoc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Manchester Surgical Assoc was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.