DECATUR SURGERY CENTER LP (NPI# 1386782787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386782787 |
| Entity Type | Organization |
| Organization Name | DECATUR SURGERY CENTER LP |
| Practice Address |
2828 Highway 31 South Decatur AL 35603 |
| Mailing Address |
Po Box 747 Decatur AL 35602 |
| Practice Telephone | 2563401212 |
| Practice Fax Number | 2563400252 |
| Mailing Telephone | 2563401212 |
| Mailing Fax Number | 2563400252 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | MR. ANDREW HETRICK (ADMINISTRATOR) |
| Authorized Official Telephone | 2563401212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
U5201 | AL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | ASC0002C | 05 |
| Street Address |
2828 HIGHWAY 31 SOUTH |
| City | DECATUR |
| State | AL |
| Zip Code | 35603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851377527 | Venkata Babu Kantamneni | Internal Medicine | 2828 Highway 31 South, Suite 117, Decatur, AL 35602 | 2005-12-15 |
| 1477641553 | John Vernon Irle | Family Medicine | 2828 Highway 31 South, Suite 107, Decatur, AL 35603 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858848 | Marcanna Michele Kimball | Technician | 1616 Saginaw Ln Sw, Decatur, AL 35603 | 2019-12-12 |
| 1316503808 | Julie Monteiro-pai | Nurse Practitioner | 2828 Us 31, Suite # 117, Decatur, AL 35603 | 2019-05-10 |
| 1700305372 | Jessica Skarda | Nurse Practitioner | 1577-1631 Kathy Ln Sw, Decatur, AL 35603 | 2017-09-14 |
| 1841532546 | Priceville Pharmacy LLC | Pharmacy | 2941 Point Mallard Pkwy, Suite A, Decatur, AL 35603 | 2013-03-20 |
| 1235392689 | David Gerardo Barraza | Nurse Practitioner | 2422 Donville Road, Suite E, Decatur, AL 35603 | 2008-07-07 |
| 1164629002 | Rachel E. Kennedy | Family Medicine | 2422 Danville Rd., Suite E, Decatur, AL 35603 | 2007-07-02 |
| 1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
| 1598829814 | Decatur Eye Institute | Optometrist | 2620 Centron Dirve Sw, Decatur, AL 35603 | 2006-12-21 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1568531820 | Highlands Internal Medicine LLC | Internal Medicine | 2422 Danville Rd, Suite F, Decatur, AL 35603 | 2006-11-08 |
| Find all providers in zip 35603 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
| 1568984375 | American Access Care of Atlanta Asc LLC | Clinic/Center | 250 E Ponce Deleon Avenue, Suite 100, Decatur, GA 30030-3406 | 2017-07-13 |
| 1194255372 | Decatur Urology Surgery Center | Clinic/Center | 2711 Irvin Way Ste 101, Decatur, GA 30030 | 2017-06-19 |
| 1962513788 | Surgery Center of Decatur Lp | Clinic/Center | 1122 14th Avenue Se, Decatur, AL 35601-3361 | 2006-08-31 |
| 1891716049 | Georgia Urology Ambulatory Surgical Center LLC | Clinic/Center | 2685 Milscott Dr, Decatur, GA 30033-5906 | 2006-07-22 |
| 1134185564 | Decatur Digestive Disease Center LLC | Clinic/Center | 2 Memorial Dr Suite 102, Physician Plaza West, Decatur, IL 62526-3950 | 2006-04-25 |
| 1730601865 | Snapfinger Vascular Access Center Asc LLC | Clinic/Center | 5246 Snapfinger Park Dr, Decatur, GA 30035-4044 | 2017-07-11 |
| 1043660442 | Georgia Interventional Pain - D, LLC | Clinic/Center | 484 Irvin Ct, Suite 130, Decatur, GA 30030-5406 | 2016-06-16 |
| 1568705846 | Dekalb Center for Foot and Ankle Surgery, LLC | Clinic/Center | 215 Clairemont Ave, Decatur, GA 30030-2508 | 2013-04-04 |
| Find all providers in DECATUR | ||||
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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.