Provider Demographics
NPI:1780771089
Name:STAT SURGICAL ASSOCIATES, INC.
Entity type:Organization
Organization Name:STAT SURGICAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:AUBREY
Authorized Official - Last Name:CROSSLAND
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:615-690-8002
Mailing Address - Street 1:5200 MARYLAND WAY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5018
Mailing Address - Country:US
Mailing Address - Phone:615-690-7828
Mailing Address - Fax:615-690-8039
Practice Address - Street 1:5200 MARYLAND WAY
Practice Address - Street 2:SUITE 301
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5018
Practice Address - Country:US
Practice Address - Phone:615-690-7828
Practice Address - Fax:615-690-8039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty