Plaza Surgery, G.P.
Clinic/Center, Ambulatory Surgical in Chattanooga, TN. Organization (NPI-2).
Details
- NPI
- 1497750400
- Entity type
- Organization (NPI-2)
- Legal business name
- Plaza Surgery, G.P.
- Organization subpart
- No
- Enumeration date
- Jun 16, 2005
- Last updated
- Dec 19, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 0000000135 | TN | Yes |
Practice location
979 E 3rd StChattanooga, TN 37403-2136
Phone 423-778-3192 · Fax 423-778-2164
Mailing address
13740 Cypress Terrace CirSte 501-503
Fort Myers, FL 33907-8827
Phone 239-274-1000 · Fax 239-274-1001
Authorized official
Dawn Hurst
Business Office Manager
4237783192
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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