UROLOGICAL AMBULATORY SURGERY CENTER, INC. (NPI# 1548257892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548257892 |
| Entity Type | Organization |
| Organization Name | UROLOGICAL AMBULATORY SURGERY CENTER, INC. |
| Practice Address |
1812 N Mills Ave Orlando FL 32803-1854 |
| Practice Telephone | 4078973499 |
| Practice Fax Number | 4078948746 |
| Mailing Telephone | 4078973499 |
| Mailing Fax Number | 4078948746 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2010-01-21 |
| Authorized Official Name | JEFFREY THILL (PARTNER) |
| Authorized Official Telephone | 4078973499 |
| Authorized Official Credential | M.D. |
| 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 |
|---|---|---|---|
| FL | 079073700 | 05 |
| Street Address |
1812 N MILLS AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265428957 | Donald V Jablonski | Urology | 1812 N Mills Ave, Orlando, FL 32803-1854 | 2005-09-27 |
| 1912410374 | Adam Robert Procunier | Nurse Practitioner | 1812 N Mills Ave, Orlando, FL 32803-1834 | 2017-11-08 |
| 1619417904 | Yadira Hernandez | Nurse Practitioner | 1812 N Mills Ave, Orlando, FL 32803-1834 | 2017-03-06 |
| 1578942918 | Christopher M Russell | Urology | 1812 N Mills Ave, Orlando, FL 32803-1834 | 2015-05-19 |
| 1396135786 | Verron Lovern Rainford | Nurse Practitioner | 1812 N Mills Ave, Orlando, FL 32803-1834 | 2015-01-23 |
| 1639593668 | Cathryn A Behnke | Nurse Practitioner | 1812 N Mills Ave, Orlando, FL 32803-1834 | 2014-02-11 |
| 1639502081 | Georgina Maldonado Orozco | Nurse Practitioner | 1812 N Mills Ave, Orlando, FL 32803-1834 | 2013-08-20 |
| 1801159694 | Nakita Wise | Nurse Practitioner | 1812 N Mills Ave, Orlando, FL 32803-1834 | 2012-06-18 |
| 1073838140 | Amber Gail Brannan Orman | Radiology | 1812 N Mills Ave, Orlando, FL 32803-1834 | 2010-04-01 |
| 1366607681 | Astra Mohammed | Physician Assistant | 1812 N Mills Ave, Orlando, FL 32803-1834 | 2008-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841755436 | Biospine Orlando | Clinic/Center | 3900 Millenia Blvd, Orlando, FL 32839-6407 | 2019-02-07 |
| 1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
| 1164922530 | Fresenius Vascular Care Four Corners Asc LLC | Clinic/Center | 1405 S Orange Ave Ste 120, Orlando, FL 32806 | 2018-02-13 |
| 1326309394 | Advanced Surgery Center of Orlando LLC | Clinic/Center | 6900 Turkey Lake Rd Ste 2-5, Orlando, FL 32819-4707 | 2012-06-06 |
| 1336445873 | Sand Lake Surgicenter LLC | Clinic/Center | 7477 Sandlake Commons Blvd, Orlando, FL 32819-8034 | 2011-02-01 |
| 1356654610 | Endo-surgical Center of Florida | Clinic/Center | 100 North Dean Road, Suite 102, Orlando, FL 32825 | 2010-07-15 |
| 1457545980 | Sand Lake Surgery Center, Lp | Clinic/Center | 7477 Sand Lake Commons Blvd, Orlando, FL 32819-8034 | 2007-08-28 |
| 1598980690 | Tcorp Inc | Clinic/Center | 2013 E Jefferson Street, Orlando, FL 32803 | 2007-04-16 |
| 1285752717 | Richard Arabitg | Clinic/Center | 8940 Conroy-windemere Rd., Orlando, FL 32835 | 2007-03-26 |
| 1881736734 | Millenia Surgery Center LLC | Clinic/Center | 4901 Vineland Rd, Suite 150, Orlando, FL 32811-7300 | 2007-02-13 |
| Find all providers in ORLANDO | ||||
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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.