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Surgical Arts, P.C.

Details

Name: Surgical Arts, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 03 Jan 1983 (42 years ago)
Date of dissolution: 08 Mar 2024
Entity Number: 000-090-131
Register Number: 000090131
Historical Names: Gregory S. Windham, M.D., P.C.
County: Cullman
Place of Formation: Cullman County
Principal Address: CULLMAN, AL
Registered Office Street Address: 1930 ALABAMA HIGHWAY 157CULLMAN, AL 35055
Registered Office Street Address ZIP Code: 35055
Authorized Capital: $5,000

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316054893 2006-08-23 2010-02-01 1930 AL HIGHWAY 157, CULLMAN, AL, 350580609, US 1930 AL HIGHWAY 157, CULLMAN, AL, 350580609, US

Contacts

Phone +1 256-734-7850
Fax 2567349633

Authorized person

Name MS. KATHY D SCHUMAN
Role OFFICE MANAGER
Phone 2567347850

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 528500620
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SURGICAL ARTS P.C. SAFE HARBOR 401(K) PLAN 2020 630837585 2021-10-15 SURGICAL ARTS, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2567347850
Plan sponsor’s address 1930 ALABAMA HIGHWAY 157, CULLMAN, AL, 35058

Signature of

Role Plan administrator
Date 2021-10-15
Name of individual signing VICKI MCMINN
SURGICAL ARTS P.C. SAFE HARBOR 401(K) PLAN 2019 630837585 2020-12-31 SURGICAL ARTS, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2567347850
Plan sponsor’s address 1930 ALABAMA HIGHWAY 157, CULLMAN, AL, 35058

Signature of

Role Plan administrator
Date 2020-12-31
Name of individual signing VICKI MCMINN
SURGICAL ARTS P.C. SAFE HARBOR 401(K) PLAN 2018 630837585 2019-07-03 SURGICAL ARTS, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2567347850
Plan sponsor’s address 1930 AL HWY 157, CULLMAN, AL, 35058

Signature of

Role Plan administrator
Date 2019-07-03
Name of individual signing VICKI MCMINN
SURGICAL ARTS P.C. SAFE HARBOR 401(K) PLAN 2017 630837585 2018-09-05 SURGICAL ARTS, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2567347850
Plan sponsor’s address 1930 ALABAMA HIGHWAY 157, CULLMAN, AL, 35058

Signature of

Role Plan administrator
Date 2018-09-05
Name of individual signing KATHY SCHUMAN
SURGICAL ARTS P.C. SAFE HARBOR 401(K) PLAN 2016 630837585 2017-09-12 SURGICAL ARTS, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2567347850
Plan sponsor’s address 1930 ALABAMA HIGHWAY 157, CULLMAN, AL, 35058

Signature of

Role Plan administrator
Date 2017-09-12
Name of individual signing PLAN SPONSOR
SURGICAL ARTS, P.C. SAFE HARBOR 401(K) PLAN 2015 630837585 2016-07-27 SURGICAL ARTS, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2567347850
Plan sponsor’s address 1930 ALABAMA HIGHWAY 157, CULLMAN, AL, 35058

Signature of

Role Plan administrator
Date 2016-07-27
Name of individual signing KATHY SCHUMAN
SURGICAL ARTS, P.C. SAFE HARBOR 401(K) PLAN 2014 630837585 2015-07-29 SURGICAL ARTS, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2567347850
Plan sponsor’s address 1930 ALABAMA HIGHWAY 157, CULLMAN, AL, 35058

Signature of

Role Plan administrator
Date 2015-07-29
Name of individual signing KATHY SCHUMAN
SURGICAL ARTS, P.C. SAFE HARBOR 401(K) PLAN 2013 630837585 2014-06-27 SURGICAL ARTS, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2567347850
Plan sponsor’s address 1930 ALABAMA HIGHWAY 157, CULLMAN, AL, 35058

Signature of

Role Plan administrator
Date 2014-06-27
Name of individual signing KATHY SCHUMAN
SURGICAL ARTS, P.C. SAFE HARBOR 401(K) PLAN 2012 630837585 2013-06-28 SURGICAL ARTS, P.C. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2567347850
Plan sponsor’s address 1930 ALABAMA HIGHWAY 157, CULLMAN, AL, 35058

Signature of

Role Plan administrator
Date 2013-06-28
Name of individual signing KATHY SCHUMAN

Agent

Name Role
WINDHAM, GREGORY S Agent

Incorporator

Name Role Address
WINDHAM, GREGORY S MD Incorporator 1930 ALABAMA HIGHWAY 157CULLMAN, AL 35058

Events

Event Date Event Type Old Value New Value
1985-07-08 Name Change Gregory S. Windham, M.D., P.C. Surgical Arts, P.C.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State