CRESCENT CITY SURGERY CENTER LLC (NPI# 1114253093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114253093 |
| Entity Type | Organization |
| Organization Name | CRESCENT CITY SURGERY CENTER LLC |
| Practice Address |
220 E Virginia St Evansville IN 47711-5530 |
| Mailing Address |
401 Commerce St Suite 600 Nashville TN 37219-2446 |
| Practice Telephone | 8124242020 |
| Mailing Telephone | 6153456900 |
| Mailing Fax Number | 6156917214 |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | MARK KELLY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6153456900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6201 E Columbia St, Evansville, IN 477154003 | 8124351600 |
| Street Address |
220 E VIRGINIA ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47711-5530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639428535 | Planned Parenthood of Indiana Evansville | Clinic/Center | 125 N. Weinbach, Suite 120, Evansville, IN 47711 | 2012-09-06 |
| 1043325798 | Max Leland Lingo Jr. | Dentist | 3323 Mariner Dr, Evansville, IN 47711 | 2006-08-21 |
| 1740201375 | John B Wittgen | Dentist | 701 N Weinbach, Ste 910, Evansville, IN 47711 | 2006-07-21 |
| 1205868700 | Paul Swift Mefford | Social Worker | 2015 Maxwell Avenue, Evansville, IN 47711 | 2006-07-06 |
| 1043691165 | Prathyusha Vadlamani | Dentist | 400 E Diamond Ave, Evansville, IN 47711 | 2015-06-15 |
| 1013174267 | Joan Smith Kuhn | Speech-Language Pathologist | 2425 Highway 41 N, Suite 302, Evansville, IN 47711 | 2008-05-16 |
| 1902949944 | Melanie Annette Watson | Pharmacist | 200 N. Main St., Evansville, IN 47711 | 2007-02-15 |
| 1992884985 | Jennifer L Harwood | Social Worker | 600 N Weinbach Ave Ste 730, Evansville, IN 47711 | 2006-11-02 |
| 1134225675 | Michael A Sontz | Dentist | 423 N Main St, Ste A, Evansville, IN 47711 | 2006-09-15 |
| 1619990892 | Clifford Lee Martin | Dentist | 701 N Weinbach Ave, Suite 920, Evansville, IN 47711 | 2006-07-26 |
| Find all providers in zip 47711 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821170499 | Eye Care Surgery Center of Evansville, LLC | Clinic/Center | 6540 Logan Drive, Suite 3, Evansville, IN 47715-8238 | 2006-10-20 |
| 1043204944 | Ambulatory Care Center LLC | Clinic/Center | 300 Circle Front Dr, Evansville, IN 47715-7196 | 2005-09-07 |
| 1427042316 | Ambulatory Care Center LLC | Clinic/Center | 1125 Professional Blvd, Evansville, IN 47714-8001 | 2005-09-07 |
| 1124526306 | Indiana Pain Centers-evansville LLC | Clinic/Center | 4411 Washington Ave Ste 100, Evansville, IN 47714-0805 | 2018-01-23 |
| 1538532536 | Pain Centers of Indiana - Evansville, LLC | Clinic/Center | 4411 Washington Ave, Evansville, IN 47714-0805 | 2015-11-12 |
| 1700035250 | Deaconess Welborn Surgical Holding Company, LLC | Clinic/Center | 421 Chestnut St, Evansville, IN 47713-1227 | 2008-09-09 |
| 1376708735 | Ambulatory Surgery Center for Pain Relief LLC | Clinic/Center | 2330 Lynch Rd, Suite 100b, Evansville, IN 47711-2998 | 2008-07-25 |
| 1871751024 | Ambulatory Surgery Center for Pain Relief LLC | Clinic/Center | 2330 Lynch Rd, Suite 100b, Evansville, IN 47711-2998 | 2008-05-23 |
| 1306984174 | Board of Trustees of Welborn Clinic | Clinic/Center | 421 Chestnut St, Evansville, IN 47713-1227 | 2007-02-02 |
| 1912096785 | Evansville Surgery Center Associates, LLC | Clinic/Center | 520 Mary St, Suite 130, Evansville, IN 47710-1677 | 2006-10-12 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47711 |
Please comment or provide details below to improve the information on CRESCENT CITY SURGERY CENTER LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.