NORTHRIDGE SURGERY CENTER, LP


Address: 647 Myatt Dr, Madison, TN 37115-2125
Phone: 6158688942

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
0000000016 TN Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN BCBS 4039016 01
TN RR MEDICARE 490001500 01
TN 7100077710 05

Other Provider/Organization Names

Other Name Type Code
Northridge Surgery Center Other Name - Individual/Organization

Office Location

Street Address 647 MYATT DR
City MADISON
State TN
Zip Code 37115-2125

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497391619 Madison Spine Surgery Center, LLC Clinic/Center 160 Fountains Blvd Ste C, Madison, MS 39110-6380 2019-11-22
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

Competitor

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City MADISON
Zip Code 37115

Improve Information

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Dataset Information

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.

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