COLISEUM SAME DAY SURGERY CENTER LP (NPI# 1609872597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609872597 |
| Entity Type | Organization |
| Organization Name | COLISEUM SAME DAY SURGERY CENTER LP |
| Practice Address |
340 Hospital Dr Bldg E Macon GA 31217-3838 |
| Mailing Address |
Po Box 6154 Macon GA 31208-6154 |
| Practice Telephone | 4787421403 |
| Practice Fax Number | 4787427018 |
| Mailing Telephone | 4787421403 |
| Mailing Fax Number | 4787427018 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2018-02-15 |
| Authorized Official Name | MR. WILLIAM GREGORY SWINNEY (VP) |
| Authorized Official Telephone | 9727892877 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
011-188 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00354263A | 05 | |
| RAILROAD MCARE PROVIDER | 490004496 | 01 |
| Street Address |
340 HOSPITAL DR BLDG E |
| City | MACON |
| State | GA |
| Zip Code | 31217-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326419201 | Brenda Griffin | Nurse Practitioner | 340 Hospital Dr, Suite 370, Macon, GA 31217-3838 | 2015-10-16 |
| 1245577097 | Macon Psychiatric Hospitalists, LLC | Psychiatric Hospital | 340 Hospital Dr, Bldg E, Macon, GA 31217-3838 | 2013-01-14 |
| 1194029637 | Timothy Scott Fischer | Social Worker | 340 Hospital Dr, Macon, GA 31217-3838 | 2010-12-24 |
| 1700962644 | Walker Grady Carter IIi | Psychiatry & Neurology | 340 Hospital Dr, Macon, GA 31217-3838 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535998 | Khuzema Mohsin | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Building A, Suite 430, Macon, GA 31217 | 2018-04-18 |
| 1083135271 | Angela Polk | Nurse Practitioner | 310 Hospital Dr Ste 305, Macon, GA 31217 | 2017-06-28 |
| 1235662305 | Natalie Rodziewicz | Student in an Organized Health Care Education/Training Program | 380 Hospital Drive, Suite 430, Macon, GA 31217 | 2017-04-06 |
| 1427430180 | Brett Forehand | Nurse Practitioner | 330 Hospital Dr Ste 304, Macon, GA 31217 | 2015-06-18 |
| 1376772640 | Beverly Barksdale Sanders IIi | Internal Medicine | 330 Hospital Dr., Ste. 304, Macon, GA 31217 | 2009-07-08 |
| 1528218393 | Vladimir Zahradnik | Surgery | 380 Hospital Dr Bldg A Ste 320, Macon, GA 31217 | 2008-09-29 |
| 1821274267 | Mary Charmaine Estrella Campana | Physical Therapist | 380 Hospital Drive, Building A, Ste. 430, Macon, GA 31217 | 2008-01-16 |
| 1033300785 | Joann Sams Sinclair | Nurse Practitioner | 4164 Riggins Mill Road, Macon, GA 31217 | 2007-08-07 |
| 1376689737 | Grier Godfrey | Dentist | Macon-bibb County Health Department, 171 Emery Highway, Macon, GA 31217 | 2007-01-30 |
| 1053408328 | Sujatha K. Reddy | Psychiatry & Neurology | 175 Emery Highway, Macon, GA 31217 | 2006-10-06 |
| Find all providers in zip 31217 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396141545 | Axis Surgery Center LLC | Clinic/Center | 230 Sheraton Blvd, Ste B, Macon, GA 31210 | 2014-11-17 |
| 1467851758 | Macon Outpatient Surgery, LLC | Clinic/Center | 1610 Forysth Street, Macon, GA 31201 | 2014-08-22 |
| 1427307578 | Hemlock Ambulatory Surgery Center | Clinic/Center | 101 Preston Ct Ste 104, Macon, GA 31210-5771 | 2012-09-05 |
| 1134367642 | Preferred Medical Billing | Clinic/Center | 4039 Mickey St, Macon, GA 31206-3952 | 2009-01-22 |
| 1356497747 | Associates Surgery Center, Inc. | Clinic/Center | 864 1st St, Macon, GA 31201-6875 | 2007-01-26 |
| 1659426385 | Forsyth Street Ambulatory Surgery Center, LLC | Clinic/Center | 1610 Forsyth Street, Macon, GA 31201 | 2007-01-24 |
| 1952319378 | Surgical Centers of Ga PC | Clinic/Center | 3556 Riverside Dr, Macon, GA 31210-2509 | 2006-08-03 |
| 1386673044 | Urology Center of Georgia LLC | Clinic/Center | 1870 Hardeman Ave, Macon, GA 31201-1161 | 2006-07-02 |
| 1831746007 | Gc Surgery Center LLC | Clinic/Center | 6326 Peake Rd, Macon, GA 31210-3960 | 2019-08-22 |
| 1841711942 | Macon Vascular Care, LLC | Clinic/Center | 889 2nd St, Macon, GA 31201-6862 | 2017-06-29 |
| Find all providers in MACON | ||||
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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.