NORTHWEST PLAZA ASC LLC (NPI# 1528196888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528196888 |
| Entity Type | Organization |
| Organization Name | NORTHWEST PLAZA ASC LLC |
| Practice Address |
2311 Lake Park Dr Suite 4 Albany GA 31707-3183 |
| Practice Telephone | 2294350525 |
| Practice Fax Number | 2294349827 |
| Mailing Telephone | 2294350525 |
| Mailing Fax Number | 2294349827 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | MS. NATALIE D. DIXON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2294350525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
35890 | GA | Ambulatory Health Care Facilities |
| Street Address |
2311 LAKE PARK DR SUITE 4 |
| City | ALBANY |
| State | GA |
| Zip Code | 31707-3183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588665277 | Henry H. Barnard II | Orthopaedic Surgery | 2311 Lake Park Dr, Albany, GA 31707-3183 | 2005-08-03 |
| 1578965208 | Randy E. Lane | Physician Assistant | 2311 Lake Park Dr, Albany, GA 31707-3183 | 2014-09-25 |
| 1356775126 | Brittney Danielle Brown | Physical Therapist | 2311 Lake Park Dr, Albany, GA 31707-3183 | 2013-08-28 |
| 1588939060 | Randol Brock Simmons | Specialist | 2311 Lake Park Dr, Albany, GA 31707-3183 | 2012-03-15 |
| 1043531296 | Michael Anthony Davis | Orthopaedic Surgery | 2311 Lake Park Dr, Albany, GA 31707-3183 | 2010-06-22 |
| 1972757201 | Davis L Kinney Dc PC | Chiropractor | 2311 Lake Park Dr, Albany, GA 31707-3183 | 2008-11-13 |
| 1952576571 | Regional Health Group Inc | Durable Medical Equipment & Medical Supplies | 2311 Lake Park Dr, Albany, GA 31707-3183 | 2008-04-24 |
| 1720128218 | Leslie A Mashburn | Physician Assistant | 2311 Lake Park Dr, Albany, GA 31707-3183 | 2007-02-07 |
| 1972654176 | Glenn Hamby | Physical Therapist | 2311 Lake Park Dr, Albany, GA 31707-3183 | 2007-01-15 |
| 1740377787 | Willie Michael Fussell | Physical Medicine & Rehabilitation | 2311 Lake Park Dr, Albany, GA 31707-3183 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396394011 | Barbara Cannon | Technician | 2025 Gail Avenue, Albany, GA 31707 | 2019-09-05 |
| 1669941035 | Wallace Coleman | Counselor | 2403 Osler Court, Suite B, Albany, GA 31707 | 2018-11-15 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1225550957 | Christopher George Solomon | Nurse Practitioner | 2336 Dawson Rd., Urgent Care Center At Phoebe Northwest, Albany, GA 31707 | 2017-07-14 |
| 1689107229 | Teemercare @ Home LLC | Home Health | 1129 Dawson Rd Ste A, Albany, GA 31707 | 2017-04-11 |
| 1205373917 | Nicarro Henderson | Specialist | 2005 E Dawson Rd, Albany, GA 31707 | 2017-01-20 |
| 1235567918 | Restoration of The Minds LLC | Community/Behavioral Health | 1408 Edgerly Avenue, Albany, GA 31707 | 2013-10-16 |
| 1588091334 | Marsha Danell Glover | Pediatrics | 517 N. Westover Blvd., Albany, GA 31707 | 2013-10-10 |
| 1003253139 | Bailey Healthcare Inc | Community/Behavioral Health | 2416 Suite B Westgate Dr, Albany, GA 31707 | 2013-05-30 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| Find all providers in zip 31707 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356750707 | Nexus of Albany Surgery Center LLC | Clinic/Center | 2810 Meredyth Dr, Suite 101, Albany, GA 31707-2278 | 2014-08-11 |
| 1346685666 | Albany Urology Surgery Center LLC | Clinic/Center | 2400 Osler Court, Albany, GA 31707 | 2013-04-30 |
| 1285976241 | South Georgia Urology Surgery Center, LLC | Clinic/Center | 803 N Jackson St Ste B, Albany, GA 31701-2313 | 2013-03-18 |
| 1952483307 | Shackelford County Hospital District | Clinic/Center | 432 Kenshalo, Albany, TX 76430 | 2006-10-19 |
| 1134773401 | Vascular Surgery Clinic of Amch | Clinic/Center | 391 Myrtle Avenue, 5th Floor, Albany, NY 12208 | 2019-07-25 |
| 1164083911 | Everett Road Asc, LLC | Clinic/Center | 123 Everett Rd, Albany, NY 12205-1407 | 2019-06-24 |
| 1184083958 | Southern Surgery Center, LLC | Clinic/Center | 605 N Westover Blvd, Albany, GA 31707-2188 | 2016-02-22 |
| 1881910818 | Orthocare Surgery Center, LLC | Clinic/Center | 619 Pointe North Blvd, Albany, GA 31721-1514 | 2010-04-15 |
| 1407065444 | Albany Endoscopy Center, Inc. | Clinic/Center | 1009 N Monroe St, Suite 101, Albany, GA 31701-1970 | 2007-05-22 |
| 1598981888 | Premier Orthopedic Surgicenter, LLC | Clinic/Center | 2405 Osler Ct, Suite 100, Albany, GA 31707-0214 | 2007-04-17 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on NORTHWEST PLAZA ASC LLC.
| 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.