Provider Demographics
NPI:1659472983
Name:SURGICAL ASSOCIATES OF GADSDEN PC
Entity Type:Organization
Organization Name:SURGICAL ASSOCIATES OF GADSDEN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/GEN SURGEON MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHEVERRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-492-0020
Mailing Address - Street 1:900 GOODYEAR AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-1108
Mailing Address - Country:US
Mailing Address - Phone:256-492-0020
Mailing Address - Fax:256-492-0029
Practice Address - Street 1:900 GOODYEAR AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1108
Practice Address - Country:US
Practice Address - Phone:256-492-0020
Practice Address - Fax:256-492-0029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8001055208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051076949OtherBLUE CROSS/BLUE SHIELD
AL1609837152OtherNPI
AL1659472983OtherNPI GROUP
AL1891976833OtherNPI
ALC12823OtherRAILROAD MEDICARE GROUP
ALP00401656OtherRAILROAD MEDICARE
AL529203130Medicaid
AL1891976833OtherNPI
AL000076949Medicare PIN
ALP00401656OtherRAILROAD MEDICARE
AL102I021428Medicare PIN
AL102I021428Medicare PIN
AL102I021428Medicare PIN