SURGCENTER NORTHEAST LLC (NPI# 1649515354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649515354 |
| Entity Type | Organization |
| Organization Name | SURGCENTER NORTHEAST LLC |
| Practice Address |
2438 Dr. Martin Luther King Jr Street North Suite C St Petersburg FL 33704 |
| Mailing Address |
2438 Dr. Martin Luther King Jr Street North Suite C St Petersburg FL 33704 |
| Practice Telephone | 7275439204 |
| Mailing Telephone | 7275439204 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2013-03-25 |
| Authorized Official Name | MAUREEN HENDERSON (ADMINISTRATOR) |
| Authorized Official Telephone | 7275439204 |
| Authorized Official Credential | RN |
| 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 |
| Street Address |
2438 DR. MARTIN LUTHER KING JR STREET NORTH SUITE C |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289086 | Megan Burgess | Chiropractor | 1656 Brightwaters Blvd Northeast, Saint Petersburg, FL 33704 | 2020-06-10 |
| 1952932816 | Klement Family Dental P.a. | Dentist | 425 22nd Avenue North, Saint Petersburg, FL 33704 | 2020-01-30 |
| 1972150738 | Alexander Medical Group LLC | Non-Pharmacy Dispensing Site | 2438 Dr. M L King Jr Street N, St. Petersburg, FL 33704 | 2019-08-26 |
| 1720634595 | Taylor Collins | Physical Medicine & Rehabilitation | 2600 Dr. Jlk Jr St N Unity 2008, Stpetersburg, FL 33704 | 2019-08-16 |
| 1417302142 | Carrie Beth Zilbauer | Physical Therapist | 750 24th Ave N, Saint Petersburg, FL 33704 | 2016-05-02 |
| 1710225982 | Jessica Willoughby | Midwife | 1405 Dr Mlk Jr St N, Saint Petersburg, FL 33704 | 2013-01-23 |
| 1700144235 | St. Pete Chiropractic and Injury Center LLC | Chiropractor | 2206 4th Street North, St. Petersburg, FL 33704 | 2012-05-03 |
| 1437421963 | Kenneth R. Reinhart D.c. Pa | Chiropractor | 3190 Mlk Street N., St. Petersburg, FL 33704 | 2012-01-30 |
| 1386944064 | Alcove Retirement Center IIi | Assisted Living Facility | 2801 4th St N, St Petersburg, FL 33704 | 2010-10-27 |
| 1477875979 | Adam Garett Gorberg | Anesthesiology | 2438 Dr Martin Luther King Jr St N, St Petersburg, FL 33704 | 2010-02-24 |
| Find all providers in zip 33704 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376748228 | Florida Specialty Surgery Center LLC | Clinic/Center | 6345 54th Ave N, St Petersburg, FL 33709-1703 | 2007-06-20 |
| 1144382284 | Pasadena Surgery Center LLC | Clinic/Center | 6945 First Ave So, St Petersburg, FL 33707-1210 | 2006-12-14 |
| 1942259130 | St Anthonys Physicians Surgery Center LLC | Clinic/Center | 705 16th St N, St Petersburg, FL 33705-1334 | 2006-05-08 |
| 1851356984 | St Petersburg Surgery Center Ltd | Clinic/Center | 539 Pasadena Ave S, St Petersburg, FL 33707-2125 | 2006-04-20 |
| 1003870825 | Pinellas Surgery Center, LLC | Clinic/Center | 4650 4th St N, St Petersburg, FL 33703-3802 | 2006-04-17 |
| 1669461752 | Bay Area Partners | Clinic/Center | 6002 49th St N, St Petersburg, FL 33709-2114 | 2005-10-20 |
| 1366935074 | Skyway Surgery Center, LLC | Clinic/Center | 625 6th Ave S, St Petersburg, FL 33701-4662 | 2018-06-08 |
| 1568994689 | St Petersburg Ambulatory Surgery Center LLC | Clinic/Center | 6133 Central Ave, St Petersburg, FL 33710-8529 | 2017-03-29 |
| 1336514181 | A Womans Point of View Surgery Center LLC | Clinic/Center | 3275 66th St N, Ste 7, St Petersburg, FL 33710-1569 | 2015-12-04 |
| 1770969198 | Vip Surgery Center-st Petersburg LLC | Clinic/Center | 5000 Park St N, Suite 1105, St Petersburg, FL 33709-2221 | 2015-08-07 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33704 |
Please comment or provide details below to improve the information on SURGCENTER NORTHEAST 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.