SOUTHTOWNS SURGERY CENTER LLC (NPI# 1518323435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518323435 |
| Entity Type | Organization |
| Organization Name | SOUTHTOWNS SURGERY CENTER LLC |
| Practice Address |
5959 Big Tree Rd Orchard Park NY 14127-2291 |
| Mailing Address |
726 Exchange St Suite 200 Buffalo NY 14210-1484 |
| Practice Telephone | 7168598831 |
| Mailing Telephone | 7168598831 |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |
| Authorized Official Name | MR. DONALD BOYD (SVP NETWORK DEVELOP AND OPS) |
| Authorized Official Telephone | 7168598831 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
NY | Ambulatory Health Care Facilities |
| Street Address |
5959 BIG TREE RD |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-2291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184655946 | Francis John Herrmann | Physical Therapist | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2006-07-06 |
| 1205397866 | Travis Stephen Schake | Orthopaedic Surgery | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2019-03-27 |
| 1689154999 | Frank Dominic Petrasio | Physical Therapist | 5959 Big Tree Rd, Ste 108, Orchard Park, NY 14127-2291 | 2018-08-16 |
| 1144720947 | Caitlin Virginia Hackford | Physician Assistant | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2018-02-19 |
| 1871091348 | Katherine Belle Muff | Physician Assistant | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2018-01-30 |
| 1205353067 | Daryl Lindsay Trapper | Nurse Practitioner | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2017-08-23 |
| 1063946622 | Nora Fiore | Physician Assistant | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2017-04-20 |
| 1760843056 | Southtowns Ambulatory Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2016-03-14 |
| 1851739460 | Julianne Heidi Nichols | Internal Medicine | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2013-06-06 |
| 1851648794 | Jordan Michael Bergmann | Physical Therapist | 5959 Big Tree Rd, Orchard Park, NY 14127-2291 | 2012-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659338382 | Sterling Surgical Center, LLC | Clinic/Center | 303 Sterling Drive, Orchard Park, NY 14127-1571 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486511 | Park Avenue Ambulatory Center LLC | Clinic/Center | 737 Park Ave Frnt 1b, New York, NY 10021-4248 | 2020-10-30 |
| 1083220123 | Queens Surgical Center LLC | Clinic/Center | 3636 Main St Ste 1s, Flushing, NY 11354-6517 | 2020-09-22 |
| 1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
| 1780206292 | Greece Asc, LLC | Clinic/Center | 135 Canal Landing Blvd, Rochester, NY 14626-5104 | 2020-05-07 |
| 1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
| 1043845340 | Northeast Endoscopy LLC | Clinic/Center | 235 N Belle Mead Ave, East Setauket, NY 11733-3456 | 2020-03-06 |
| 1295365864 | North Fork Surgery Center LLC | Clinic/Center | 700 Boisseau Ave, Southold, NY 11971 | 2020-01-22 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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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.