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Eastern Surgical Associates, P.C.

Details

Name: Eastern Surgical Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Jan 1977 (48 years ago)
Entity Number: 000-044-656
Register Number: 000044656
Historical Names: Wood-Lytle, P.A.
Wood Lytle Perry, P.C.
Wood Lytle Perry Heinzman P.C.
Lytle Perry Heinzman, P.C.
Lytle Perry Heinzman Wood, P.C.
County: Jefferson
Place of Formation: Jefferson County
Principal Address: 52 MEDICAL PARK DRIVE STE 308BIRMINGHAM, AL 35235
Principal Address ZIP Code: 35235
Registered Office Street Address: 52 MEDICAL PARK DRIVE EAST SUITE 308BIRMINGHAM, AL 35235
Registered Office Street Address ZIP Code: 35235
Authorized Capital: $2,000
Paid Share Capital: ----

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265589972 2007-01-04 2022-02-18 52 MEDICAL PARK EAST DRIVE, SUITE 308, BIRMINGHAM, AL, 352353433, US 52 MEDICAL PARK EAST DRIVE, SUITE 308, BIRMINGHAM, AL, 352353433, US

Contacts
Phone +1 205-838-3025
Fax 2058383897
Phone +1 208-838-3025

Authorized person
Name ROBIN M SMITH
Role PRACTICE MANAGER
Phone 2058383025

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
EASTERN SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2017 630720034 2018-09-21 EASTERN SURGICAL ASSOCIATES, P.C. 10
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-11-01
Business code 621111
Sponsor’s telephone number 2058383025
Plan sponsor’s address 52 MEDICAL PARK DRIVE,, SUITE 308, BIRMINGHAM, AL, 35235
EASTERN SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2016 630720034 2017-10-11 EASTERN SURGICAL ASSOCIATES, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-11-01
Business code 621111
Sponsor’s telephone number 2058383025
Plan sponsor’s address 52 MEDICAL PARK DRIVE,, SUITE 308, BIRMINGHAM, AL, 35235
EASTERN SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2015 630720034 2016-10-14 EASTERN SURGICAL ASSOCIATES, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-11-01
Business code 621111
Sponsor’s telephone number 2058383025
Plan sponsor’s address 52 MEDICAL PARK DRIVE, SUITE 308, BIRMINGHAM, AL, 35235
EASTERN SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2014 630720034 2015-07-01 EASTERN SURGICAL ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-11-01
Business code 621111
Sponsor’s telephone number 2058383025
Plan sponsor’s address 52 MEDICAL PARK DRIVE, SUITE 308, BIRMINGHAM, AL, 35235

Signature of
Role Plan administrator
Date 2015-07-01
Name of individual signing STEPHEN HEINZMAN, M.D.
EASTERN SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2013 630720034 2014-10-14 EASTERN SURGICAL ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-11-01
Business code 621111
Sponsor’s telephone number 2058383025
Plan sponsor’s address 52 MEDICAL PARK DRIVE, SUITE 308, BIRMINGHAM, AL, 35235

Signature of
Role Plan administrator
Date 2014-10-14
Name of individual signing STEPHEN HEINZMAN, M.D.
EASTERN SURGICAL ASSOCIATES, P.C. PROFIT SHARING PLAN 2012 630720034 2013-07-19 EASTERN SURGICAL ASSOCIATES, P.C. 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1984-11-01
Business code 621111
Sponsor’s telephone number 2058383025
Plan sponsor’s address 52 MEDICAL PARK DRIVE, SUITE 308, BIRMINGHAM, AL, 35235

Signature of
Role Plan administrator
Date 2013-07-19
Name of individual signing STEPHEN HEINZMAN, M.D.

Agent

Name Role
WOOD, WILLIAM C JR MD Agent

Incorporator

Name Role
WOOD, WILLIAM C JR Incorporator
LYTLE, RICHARD A Incorporator

Events

Event Date Event Type Old Value New Value
2009-01-08 Name Change Lytle Perry Heinzman Wood, P.C. Eastern Surgical Associates, P.C.
2006-12-27 Name Change Lytle Perry Heinzman, P.C. Lytle Perry Heinzman Wood, P.C.
2002-12-26 Name Change Wood Lytle Perry Heinzman P.C. Lytle Perry Heinzman, P.C.
2000-08-16 Name Change Wood Lytle Perry, P.C. Wood Lytle Perry Heinzman P.C.
1993-11-16 Name Change Wood-Lytle, P.A. Wood Lytle Perry, P.C.

Related by officers

WOOD, WILLIAM C JR

Brown & Witt, Inc. Silver Eagle of Latin America, Inc. Yellow Dog, LLC Medical Plaza East POB, L.L.C.

Related by address

52 MEDICAL PARK DRIVE EAST SUITE 308BIRMINGHAM, AL 35235

Eastern Surgical Properties, LLC

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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