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SURGICAL ASSOCIATES OF EASTERN SHORE PC
NPI 1528153053
Specialist in Fairhope, AL

Active since October 03, 2006
767 MIDDLE ST, FAIRHOPE, AL 36532(251) 990-9191(251) 990-9189 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Surgical Associates Of Eastern Shore Pc NPPES

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

SURGICAL ASSOCIATES OF EASTERN SHORE PC (NPI 1528153053) is a healthcare organization registered as a specialist in Fairhope, Alabama and active in the NPI registry since October 2006. The organization lists Jimmie G Gavras, Physician, as its authorized official.

NPPES Registry Identity

NPI1528153053
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSURGICAL ASSOCIATES OF EASTERN SHORE PC
Location Address767 MIDDLE STFairhope, AL 36532
Mailing Address767 Middle StFairhope, AL 36532 · (251) 990-9191 · Fax (251) 990-9189
Phone(251) 990-9191
Fax(251) 990-9189
Organization SubpartNo
Authorized OfficialJimmie G GavrasPhysician · (251) 990-9191
Enumeration DateOctober 3, 2006
Last NPPES UpdateMay 18, 2016
✔ NPI 1528153053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
767 MIDDLE ST, Fairhope, AL 36532
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Other Identifiers 2

Medicaid529702280AL
Medicare PINE908AL

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

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 Associates Of Eastern Shore PC's NPI number?

The NPI number for Surgical Associates Of Eastern Shore PC is 1528153053. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Surgical Associates Of Eastern Shore PC located?

Surgical Associates Of Eastern Shore PC is located at 767 Middle St, Fairhope, AL 36532. The listed phone number is (251) 990-9191.

What is Surgical Associates Of Eastern Shore PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Surgical Associates Of Eastern Shore PC was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.