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Madison Surgical Associates, P.C.

Details

Name: Madison Surgical Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 27 Oct 2006 (18 years ago)
Entity Number: 000-249-709
Register Number: 000249709
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 201 SILVEY RD STE 540HUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801
Authorized Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578636767 2006-11-16 2009-12-10 207 LONGWOOD DR SW, HUNTSVILLE, AL, 358015243, US 207 LONGWOOD DR SW, HUNTSVILLE, AL, 358015243, US

Contacts

Phone +1 256-265-1890
Fax 2562651891

Authorized person

Name DR. RAVINDRA VEERAYYA MAILAPUR
Role DIRECTOR
Phone 2562651890

Taxonomy

Taxonomy Code 208600000X - Surgery Physician
License Number 26102
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MADISON SURGICAL ASSOCIATES CASH BALANCE PENSION PLAN 2023 205787413 2024-03-14 MADISON SURGICAL ASSOCIATES 6
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2562651890
Plan sponsor’s address 4517 COLEWOOD CIRCLE SE, HUNTSVILLE, AL, 35802
MADISON SURGICAL ASSOCIATES 401(K) PLAN 2023 205787413 2024-07-10 MADISON SURGICAL ASSOCIATES 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2562651890
Plan sponsor’s address 207 LONGWOOD DRIVE SW, HUNTSVILLE, AL, 35801
MADISON SURGICAL ASSOCIATES CASH BALANCE PENSION PLAN 2022 205787413 2023-09-18 MADISON SURGICAL ASSOCIATES 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2562651890
Plan sponsor’s address 4517 COLEWOOD CIRCLE SE, HUNTSVILLE, AL, 35802
MADISON SURGICAL ASSOCIATES 401(K) PLAN 2022 205787413 2023-09-18 MADISON SURGICAL ASSOCIATES 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2562651890
Plan sponsor’s address 207 LONGWOOD DRIVE SW, HUNTSVILLE, AL, 35801

Signature of

Role Plan administrator
Date 2023-09-18
Name of individual signing RAVINDRA V MAILAPUR
MADISON SURGICAL ASSOCIATES CASH BALANCE PENSION PLAN 2021 205787413 2022-10-14 MADISON SURGICAL ASSOCIATES 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2562651890
Plan sponsor’s address 4517 COLEWOOD CIRCLE SE, HUNTSVILLE, AL, 35802
MADISON SURGICAL ASSOCIATES 401(K) PLAN 2021 205787413 2022-08-12 MADISON SURGICAL ASSOCIATES 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2562651890
Plan sponsor’s address 207 LONGWOOD DR. SW, HUNTSVILLE, AL, 35801

Signature of

Role Plan administrator
Date 2022-08-12
Name of individual signing RAVINDRA V MAILAPUR
MADISON SURGICAL ASSOCIATES CASH BALANCE PENSION PLAN 2020 205787413 2021-09-07 MADISON SURGICAL ASSOCIATES 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2562651890
Plan sponsor’s address 4517 COLEWOOD CIRCLE SE, HUNTSVILLE, AL, 35802
MADISON SURGICAL ASSOCIATES 401(K) PLAN 2020 205787413 2021-08-08 MADISON SURGICAL ASSOCIATES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2562651890
Plan sponsor’s address 207 LONGWOOD DR. SW, HUNTSVILLE, AL, 35801

Signature of

Role Plan administrator
Date 2021-08-08
Name of individual signing RAVINDRA V MAILAPUR
MADISON SURGICAL ASSOCIATES 401(K) PLAN 2019 205787413 2020-07-29 MADISON SURGICAL ASSOCIATES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621111
Sponsor’s telephone number 2562651890
Plan sponsor’s address 207 LONGWOOD DR. SW, HUNTSVILLE, AL, 35801

Signature of

Role Plan administrator
Date 2020-07-29
Name of individual signing RAVINDRA V MAILAPUR
MADISON SURGICAL ASSOCIATES CASH BALANCE PENSION PLAN 2019 205787413 2020-08-17 MADISON SURGICAL ASSOCIATES 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2016-01-01
Business code 621111
Sponsor’s telephone number 2562651890
Plan sponsor’s address 4517 COLEWOOD CIRCLE SE, HUNTSVILLE, AL, 35802

Agent

Name Role Address
MAILAPUR, RAVINDRA V Agent 207A LONGWOOD DR SWHUNTSVILLE, AL 35801

Incorporator

Name Role Address
MAILAPUR, RAVINDRA V Incorporator 207A LONGWOOD DR SWHUNTSVILLE, AL 35801

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State