WESTSIDE SURGERY CENTER LTD (NPI# 1215990627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215990627 |
Entity Type | Organization |
Organization Name | WESTSIDE SURGERY CENTER LTD |
Practice Address |
2731 Park St Jacksonville FL 32205-7607 |
Practice Telephone | 9043891077 |
Practice Fax Number | 9043389016 |
Mailing Telephone | 9043891077 |
Mailing Fax Number | 9043389016 |
Enumeration Date | 2006-04-07 |
Last Update Date | 2018-02-13 |
Authorized Official Name | WILLIAM GREGORY SWINNEY (VP) |
Authorized Official Telephone | 9727892877 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
AHCA895 | FL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 079187500 | 05 |
Street Address |
2731 PARK ST |
City | JACKSONVILLE |
State | FL |
Zip Code | 32205-7607 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609824671 | Barbara A. Wells | Nurse Anesthetist, Certified Registered | 2731 Park St, #240, Jacksonville, FL 32205-7607 | 2006-05-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003466830 | Brandon Neil Hillard | Registered Nurse | 1260 Mcduff Ave. South, Suite 4, Jacksonville, FL 32205 | 2019-09-13 |
1720436363 | Ericka Sampson | Massage Therapist | 6859 Lenox Ave., Suite 6, Jacksonville, FL 32205 | 2016-05-24 |
1578921631 | Northstar Counseling | Counselor | 1672 Pershing Rd, Jacksonville, FL 32205 | 2016-02-04 |
1649645144 | Magaly Perez-cruz | Speech-Language Pathologist | 4101-1 College Street, Jacksonville, FL 32205 | 2015-12-09 |
1639448723 | First Choice Adult Daycare and Home Health Ca | Specialist | 5336 Quan Drive, Jacksonville, FL 32205 | 2011-12-20 |
1437434222 | Christopher Styer | Pharmacist | 654 Casset Ave, Jacksonville, FL 32205 | 2011-10-12 |
1871827279 | April Marie Felton | Nurse Practitioner | 500 E. Adams Street, Bay Street Health Center, Jacksonville, FL 32205 | 2009-10-01 |
1922244821 | Danielle Marie Sergent | Physical Therapist | 5222 Lenox Ave., Jacksonville, FL 32205 | 2008-12-23 |
1427181775 | Lapp & Associates Behavioral Counselind Ctr | Counselor | 931 Cassat Avenue, Jacksonville, FL 32205 | 2007-03-14 |
1629143326 | Elias Moussa Sargi | Dentist | 2700 Riverside Avenue, Ste 10, Jacksonville, FL 32205 | 2006-11-21 |
Find all providers in zip 32205 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
1104485440 | Surgcenter of Greater Jacksonville, LLC | Clinic/Center | 9143 Philips Hwy Ste 500, Jacksonville, FL 32256-1335 | 2019-06-11 |
1366982845 | Jacksonville Endoscopy Centers LLC | Clinic/Center | 1610 Barrs St Ste B, Jacksonville, FL 32204-4569 | 2017-03-02 |
1952771602 | Andrews Surgery Center At Jacksonville Medplex LLC | Clinic/Center | 9726 Touchton Road, Jacksonville, FL 32246-8227 | 2015-10-06 |
1770620742 | Samuel Wells Surgicenter Inc | Clinic/Center | 3599 University Blvd S Ste 604, Jacksonville, FL 32216-4234 | 2007-01-31 |
1093772667 | Medical Partners Surgery Center LLC | Clinic/Center | 4545 Emerson Expressway, Jacksonville, FL 32207-4918 | 2006-04-27 |
1134182546 | Jacksonville Surgery Center, Ltd | Clinic/Center | 7021 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2006-04-07 |
1588633481 | Bgc Holdings Inc | Clinic/Center | 1610 Barrs St, Jacksonville, FL 32204-4569 | 2006-03-15 |
1922085059 | Asc North LLP | Clinic/Center | 590 Dundas Dr, Jacksonville, FL 32218-5579 | 2005-12-29 |
1528579034 | Ambulatory Care Specialists of Jacksonville LLC | Clinic/Center | 6820 Southpoint Pkwy, Jacksonville, FL 32216 | 2017-10-24 |
Find all providers in JACKSONVILLE |
City | JACKSONVILLE |
Zip Code | 32205 |
Please comment or provide details below to improve the information on WESTSIDE SURGERY CENTER LTD.
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.