Provider Demographics
NPI:1215997739
Name:SURGICAL SERVICES, PC
Entity type:Organization
Organization Name:SURGICAL SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-338-9247
Mailing Address - Street 1:510 E BLOOMINGTON ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2803
Mailing Address - Country:US
Mailing Address - Phone:319-338-9247
Mailing Address - Fax:319-338-2785
Practice Address - Street 1:510 E BLOOMINGTON ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-2803
Practice Address - Country:US
Practice Address - Phone:319-338-9247
Practice Address - Fax:319-338-2785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0154716Medicaid
IA15471OtherBLUE CROSS #
IACS8759OtherMEDICARE RR #
IA15471OtherBLUE CROSS #