Provider Demographics
NPI:1841153079
Name:SURGICAL SUCCESS SPECIALIST, PLLC
Entity type:Organization
Organization Name:SURGICAL SUCCESS SPECIALIST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/GENERAL AND BARIATRIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-424-1484
Mailing Address - Street 1:30 S 15TH ST STE 1550
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-4806
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:319 W COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-1605
Practice Address - Country:US
Practice Address - Phone:215-559-6923
Practice Address - Fax:215-559-6925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty