PONTE VEDRA SURGERY CENTER (NPI# 1235168469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235168469 |
| Entity Type | Organization |
| Organization Name | PONTE VEDRA SURGERY CENTER |
| Practice Address |
232 Ponte Vedra Park Dr Ponte Vedra Beach FL 32082-6600 |
| Practice Telephone | 9042857546 |
| Practice Fax Number | 9042738511 |
| Mailing Telephone | 9042857546 |
| Mailing Fax Number | 9042738511 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID T HARVEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9042857546 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
14960502 | FL | Ambulatory Health Care Facilities |
| Street Address |
232 PONTE VEDRA PARK DR |
| City | PONTE VEDRA BEACH |
| State | FL |
| Zip Code | 32082-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427524008 | David J Bryant | Physician Assistant | 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 | 2018-10-22 |
| 1124418934 | Kenneth Panganiban | Physical Therapy Assistant | 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 | 2015-02-01 |
| 1073911350 | Linsey T Thompson | Physician Assistant | 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 | 2014-12-18 |
| 1548681109 | Southeast Orthopedic Specialists, Inc | Specialist | 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 | 2013-12-30 |
| 1154596898 | Stephan M. Esser | Family Medicine | 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 | 2008-04-24 |
| 1043400153 | James E Hardy IIi | Plastic Surgery | 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 | 2007-07-26 |
| 1639198708 | David T Harvey Md Pa | Dermatology | 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 | 2006-07-19 |
| 1295764165 | Kelly Deanne John | Physician Assistant | 232 Ponte Vedra Park Dr, Ponte Vedra Beach, FL 32082-6600 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1568988129 | Mustafa Bakir | General Practice | 1102 A1a, Ponte Vedra Beach, FL 32082 | 2017-08-16 |
| 1457890584 | Angelyn Sorgen | Nurse Practitioner | 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 | 2017-02-22 |
| 1033575121 | Balanced Physician Care Pa | Family Medicine | 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 | 2016-01-06 |
| 1528436060 | Robert Thompson II | Chiropractor | 135 Professional Drive, Suite 105, Ponte Vedra Beach, FL 32082 | 2015-09-14 |
| 1144628439 | Integrative Medical Group, Usa, LLC | Clinic/Center | 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082 | 2014-12-18 |
| 1811308901 | Janice Wachtel, Phd, LLC | Psychologist | 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 | 2014-05-12 |
| 1578991154 | Nicole Theiler | Counselor | 171 Canal Blvd, Ponte Vedra Beach, FL 32082 | 2013-10-17 |
| 1982948006 | Daisamma Varghese | Nurse Practitioner | 860 A1an, Ponte Vedra, FL 32082 | 2012-11-15 |
| Find all providers in zip 32082 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760591952 | Ponte Vedra Ambulatory Surgery Center, Inc. | Clinic/Center | 209 Ponte Vedra Park Drive, Ponte Vedra Beach, FL 32082-6600 | 2006-08-30 |
| 1609269232 | Surgical Center of Ponte Vedra Beach LLC | Clinic/Center | 1030 A1a N, Ponte Vedra Beach, FL 32082-4019 | 2015-03-06 |
| 1497159255 | Surgical Center of Ponte Vedra Beach, LLC | Clinic/Center | 1030 A1a N, Ponte Vedra Beach, FL 32082-4019 | 2014-10-22 |
| 1154741189 | Surgery Center of Ponte Vedra Beach LLC | Clinic/Center | 1030 A1a N, Ponte Vedra Beach, FL 32082-4019 | 2014-04-17 |
| 1093077257 | Ponte Vedra Beach Surgery Center LLC | Clinic/Center | 1030 A1a N, Ponte Vedra Beach, FL 32082-4019 | 2012-06-13 |
| 1225050974 | Ponte Vedra Bch Surgery Clinic | Clinic/Center | 1030 A1a N, Ponte Vedra Beach, FL 32082-4019 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351102 | University Medical Service Association Inc | Clinic/Center | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 |
| 1437764321 | Baptist Health Surgery Center, LLC | Clinic/Center | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 |
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1780292359 | Gemini Ambulatory Surgical Center Incorporated | Clinic/Center | 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2020-07-20 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1578188983 | Miami Beach Surgery Center, LLC | Clinic/Center | 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 | 2020-06-11 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033734793 | Naples Suncoast Surgery Center LLC | Clinic/Center | 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 | 2020-06-09 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
| City | PONTE VEDRA BEACH |
| Zip Code | 32082 |
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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.