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SURGICAL SPECIALISTS P C
NPI 1497790091
Surgery in Martin, TN

Active since June 18, 2006
143 KENNEDY DR, SUITE B, MARTIN, TN 38237(731) 587-3030 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Surgical Specialists P C NPPES

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

SURGICAL SPECIALISTS P C (NPI 1497790091) is a healthcare organization registered as a surgery in Martin, Tennessee and active in the NPI registry since June 2006. The organization lists Egbert Rebeiro, President, as its authorized official.

NPPES Registry Identity

NPI1497790091
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSURGICAL SPECIALISTS P C
Location Address143 KENNEDY DR, SUITE BMartin, TN 38237-3309
Mailing Address143 Kennedy Dr, Suite BMartin, TN 38237-3309 · (731) 587-3030
Phone(731) 587-3030
Organization SubpartNo
Authorized OfficialEgbert RebeiroPresident · (731) 587-3030
Enumeration DateJune 18, 2006
Last NPPES UpdateOctober 24, 20242 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
✔ NPI 1497790091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · MD12630
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.
143 KENNEDY DR, Martin, TN 38237
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Other Identifiers 2

Medicaid3727249TN
Other4092729TN · Bcbs Provider Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHRAF YAHYA ALQAQA MD
Internal Medicine (Cardiovascular Disease)
143 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-5321
MARTIN HOSPITAL COMPANY LLC
Family Medicine
143 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-5321
HUNTER J CROUSE DO
Family Medicine
143 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 578-5321
KEITH THOMPSON MD
Surgery
143 KENNEDY DR, SUITE A
MARTIN, TN 38237
Weakley County (731) 587-5321
DR. EGBERT REBEIRO M.D.
Surgery
143 KENNEDY DR, SUITE B
MARTIN, TN 38237
Weakley County (731) 587-3030
MADISON SHUMAKE CNM, WHNP-BC
Advanced Practice Midwife
143 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 514-8799
REBECCA N JOHNSON CNMW
Advanced Practice Midwife
143 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-5321
MORGAN S STONE
Nurse Practitioner (Family)
143 KENNEDY DR
MARTIN, TN 38237
Weakley County (731) 587-5321

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 Surgical Specialists P C's NPI number?

The NPI number for Surgical Specialists P C is 1497790091. It was assigned to this organization in the NPPES registry on June 18, 2006.

Where is Surgical Specialists P C located?

Surgical Specialists P C is located at 143 Kennedy Dr Suite B, Martin, TN 38237. The listed phone number is (731) 587-3030.

What is Surgical Specialists P C'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 Surgical Specialists P C was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.