SURGICENTER GROUP, LLC (NPI# 1124005558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124005558 |
| Entity Type | Organization |
| Organization Name | SURGICENTER GROUP, LLC |
| Other Organization Name | LAFAYETTE AMBULATORY SURGERY CENTER |
| Practice Address |
3733 Rome Dr Lafayette IN 47905-4490 |
| Mailing Address |
Po Box 472 Muncie IN 47308-0472 |
| Practice Telephone | 7654495272 |
| Practice Fax Number | 7654478723 |
| Mailing Telephone | 7652868888 |
| Mailing Fax Number | 7657477962 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KEVIN T SCRIPTURE (PART OWNER) |
| Authorized Official Telephone | 7659661945 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
IN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lafayette Ambulatory Surgery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962489393 | Surgicenter Group, LLC | Clinic/Center | 711 W Gardner Dr, Marion, IN 46952-1821 | 2005-12-28 |
| 1235116658 | Surgicenter Group, LLC | Clinic/Center | 200 N Tillotson Ave, Muncie, IN 47304-3988 | 2005-12-28 |
| 1487631891 | Surgicenter Group, LLC | Clinic/Center | 1900 Chester Blvd, Richmond, IN 47374-1213 | 2005-12-28 |
| Street Address |
3733 ROME DR |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-4490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679931661 | Emily Pierce | Nurse Practitioner | 3733 Rome Dr, Lafayette, IN 47905-4490 | 2016-02-04 |
| 1477654481 | Jayati K Singh | Psychiatry & Neurology | 3733 Rome Dr, Lafayette, IN 47905-4490 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
| Find all providers in zip 47905 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1770096273 | Southpark Surgery Center, LLC | Clinic/Center | 901 Wilson St Ste A, Lafayette, LA 70503-2439 | 2017-11-07 |
| 1417294745 | Coal Creek Ambulatory Surgery Center PC | Clinic/Center | 130 Old Laramie Trl Bldg 4, Lafayette, CO 80026 | 2013-01-07 |
| 1598979734 | Jeffrey Craig Friedman | Clinic/Center | 911 Moraga Rd Ste 205, Lafayette, CA 94549-4500 | 2007-05-09 |
| 1174588099 | Iu Health Arnett Hospital, Inc | Clinic/Center | 1327 S 500 E, Lafayette, IN 47905-8718 | 2006-04-20 |
| 1912971326 | Advanced Surgery Center, LLC | Clinic/Center | 1400 Teal Rd, Suite 7, Lafayette, IN 47905-2463 | 2006-02-14 |
| 1154318376 | Lahaye Center for Advanced Eye Care of Lafayette, Inc. | Clinic/Center | 201 Rue Iberville, Suite 800, Lafayette, LA 70508-8503 | 2005-10-03 |
| 1659363844 | Laser & Surgery Center of Acadiana | Clinic/Center | 514 Saint Landry St, Lafayette, LA 70506-4626 | 2005-08-16 |
| 1003816307 | Sagamore Surgical Services, Inc. | Clinic/Center | 2320 Concord Rd, Ste B, Lafayette, IN 47909-2708 | 2005-07-28 |
| Find all providers in LAFAYETTE | ||||
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| 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.