PHOENIX AMBULATORY SURGERY CENTER LLC (NPI# 1477067866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477067866 |
| Entity Type | Organization |
| Organization Name | PHOENIX AMBULATORY SURGERY CENTER LLC |
| Practice Address |
101 Physicians Way Lebanon TN 37090-4135 |
| Practice Telephone | 6155219097 |
| Mailing Telephone | 6154442320 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2019-01-10 |
| Authorized Official Name | COURTNEY DISMUKES FORBES (BILLING MANAGER) |
| Authorized Official Telephone | 6154490990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | PENDING | 05 |
| Street Address |
101 PHYSICIANS WAY |
| City | LEBANON |
| State | TN |
| Zip Code | 37090-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649271206 | Roy C. Terry | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-04 |
| 1235647058 | Middle Tennessee Anesthesia Providers, Pllc | Nurse Anesthetist, Certified Registered | 101 Physicians Way, Lebanon, TN 37090-4135 | 2018-01-15 |
| 1154857654 | Timothy Marlow Brooks | Occupational Therapist | 101 Physicians Way, Suite 115, Lebanon, TN 37090-4135 | 2017-05-04 |
| 1356509202 | Martha Phillips George | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090-4135 | 2008-05-28 |
| 1326030156 | Tennessee Orthopedics, P.C. | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376926840 | Kathryn Mccloud | Physical Therapist | 163 Business Park Drive, Lebanon, TN 37090 | 2015-07-02 |
| 1811380926 | Samantha Smith | Nurse Practitioner | 101 Physicians Way Ste 111, Lebanon, TN 37090 | 2015-03-13 |
| 1760575831 | Ronald Scott Forczek | Respiratory Therapist, Certified | 8265 Trousdale Ferry Pike, Lebanon, TN 37090 | 2006-10-02 |
| 1679570345 | Rhoda S Powers | Nurse Practitioner | 100 Physicians Way, Lebanon, TN 37090 | 2005-07-07 |
| 1285103689 | Jessica A Barron | Dermatology | 107 Glidepath Way, Lebanon, TN 37090 | 2018-11-15 |
| 1811109614 | Susan Anissa Hatcher | Occupational Therapy Assistant | 2215 Callis Rd, Lebanon, TN 37090 | 2007-05-04 |
| 1558386771 | Andre C Olivier | Internal Medicine | 100 Physicians Way, Suite 300, Lebanon, TN 37090 | 2006-07-12 |
| 1154686673 | Stephanie Ruckman | Nurse Practitioner | 115 Moriah Dr, Lebanon, TN 37090-0731 | 2012-07-10 |
| 1801939798 | Prospect, Inc. | In Home Supportive Care | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2007-02-14 |
| 1093262743 | Prospect, Incorporated | Day Training, Developmentally Disabled Services | 960 Maddox Simpson Pkwy, Lebanon, TN 37090-0751 | 2016-09-09 |
| Find all providers in zip 37090 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457399362 | Lebanon Hma Surgery Center Inc | Clinic/Center | 1414 W Baddour Pkwy, Lebanon, TN 37087-2514 | 2006-06-03 |
| 1235329095 | The Good Samaritan Hospital | Clinic/Center | 830 Tuck St, Lebanon, PA 17042-7477 | 2007-07-27 |
| 1407992878 | Wilson County Eye Surgery Center, LLC | Clinic/Center | 1670 W Main St, Suite 120, Lebanon, TN 37087-1344 | 2007-01-30 |
| 1205902343 | The Good Samaritan Hospital | Clinic/Center | Fourth and Walnut Streets, Lebanon, PA 17042 | 2006-11-28 |
| 1679595680 | Surgery Center of Lebanon, Lp | Clinic/Center | 1840 Quentin Rd, Lebanon, PA 17042-7436 | 2006-07-25 |
| 1992768048 | Lebanon Outpatient Surgical Center L.p. | Clinic/Center | 830 Tuck St, Lebanon, PA 17042-7477 | 2006-04-10 |
| 1336143718 | Valley View Surgical Center | Clinic/Center | 875 Norman Dr, Lebanon, PA 17042-7454 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939559 | Endoscopy Center of St Thomas Lp | Clinic/Center | 4230 Harding Pike Ste 309b, Nashville, TN 37205-2013 | 2020-10-09 |
| 1790344182 | Bristol Ambulatory Surgery Center, LLC | Clinic/Center | 350 Blountville Hwy Ste 108, Bristol, TN 37620-1676 | 2019-06-10 |
| 1528622321 | Premier-covenant Astc LLC | Clinic/Center | 6408 Papermill Dr Ste 220, Knoxville, TN 37919-4858 | 2019-04-26 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1326508045 | Eye Surgery Center of Lenoir City, LLC | Clinic/Center | 5491 Creekwood Park Blvd Ste B, Lenoir City, TN 37772-1204 | 2019-03-20 |
| 1629536826 | Meadowview Asc, LLC | Clinic/Center | 2033 Meadowview Ln Ste 210, Kingsport, TN 37660-7569 | 2019-03-06 |
| 1780157990 | Renaissance Surgery Center, LLC | Clinic/Center | 320 Bristol West Blvd Ste 1a, Bristol, TN 37620-8773 | 2019-01-10 |
| 1619487782 | Uch Vascular Access Asc LLC | Clinic/Center | 6490 Mt Moriah Rd Ext Ste 202, Memphis, TN 38115-3841 | 2017-10-03 |
| 1841712452 | Saint Thomas Surgery Center New Salem, LLC | Clinic/Center | 2755 New Salem Highway, Murfreesboro, TN 37128-3712 | 2017-07-14 |
| 1255860383 | Eye Surgery Center of Knoxville, LLC | Clinic/Center | 7739 Dannaher Drive, Powell, TN 37849 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
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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.