NORTHRIDGE SURGERY CENTER, LP (NPI# 1245233220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245233220 |
Entity Type | Organization |
Organization Name | NORTHRIDGE SURGERY CENTER, LP |
Other Organization Name | NORTHRIDGE SURGERY CENTER |
Practice Address |
647 Myatt Dr Madison TN 37115-2125 |
Practice Telephone | 6158688942 |
Practice Fax Number | 6158603820 |
Mailing Telephone | 6158688942 |
Mailing Fax Number | 6158603820 |
Enumeration Date | 2005-05-24 |
Last Update Date | 2012-12-31 |
Authorized Official Name | KATHERINE L. REED (AUTHORIZED OFFICIAL-OFFICER) |
Authorized Official Telephone | 9727633859 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0000000016 | TN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BCBS | 4039016 | 01 |
TN | RR MEDICARE | 490001500 | 01 |
TN | 7100077710 | 05 |
Other Name | Type Code |
---|---|
Northridge Surgery Center | Other Name - Individual/Organization |
Street Address |
647 MYATT DR |
City | MADISON |
State | TN |
Zip Code | 37115-2125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457581787 | Jason Allen Cantrell | Specialist/Technologist, Other | 647 Myatt Dr, Madison, TN 37115-2125 | 2009-07-21 |
1629234778 | Richard Harding | Registered Nurse | 647 Myatt Dr, Madison, TN 37115-2125 | 2008-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
Find all providers in zip 37115 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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1487094058 | Comprehensive Pain Center for Surgery | Clinic/Center | 129 Fountains Blvd., Madison, MS 39110 | 2013-06-27 |
1720017973 | Surgi Center of Greater Madison, LLC | Clinic/Center | 34 Schroeder Ct, Ste 100, Madison, WI 53711-2525 | 2006-07-01 |
1679570774 | Novamed Surgery Center of Madison, Limited Partnership | Clinic/Center | 1200 John Q Hammons Dr, Suite 102, Madison, WI 53717-1959 | 2005-07-05 |
1093214819 | Premier Surgical Center, LLC | Clinic/Center | 160 Fountains Blvd, Madison, MS 39110 | 2018-02-07 |
1528259686 | Madison Surgicare Center, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
1982895041 | Madison Neurosurgery, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
1609067768 | Madison General Surgery, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
1255522314 | Madison Pain Management, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
1235201369 | Dean Health Systems, Inc. | Clinic/Center | 1025 Regent St, Madison, WI 53715-1248 | 2006-11-14 |
Find all providers in MADISON |
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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.