SOUTHEASTERN UROLOGICAL PARTNERS LTD (NPI# 1801844386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801844386 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN UROLOGICAL PARTNERS LTD |
| Other Organization Name | SOUTHEASTERN SURGERY CENTER |
| Practice Address |
2000 Centre Pointe Blvd Tallahassee FL 32308 |
| Practice Telephone | 8508789992 |
| Practice Fax Number | 8508789637 |
| Mailing Telephone | 8508789992 |
| Mailing Fax Number | 8508789637 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-02-17 |
| Authorized Official Name | WILLIAM PAUL SAWYER (MD) |
| Authorized Official Telephone | 8008789992 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1084 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 67X | 01 |
| Other Name | Type Code |
|---|---|
| Southeastern Surgery Center | Doing Business As Name - Organization |
| Street Address |
2000 CENTRE POINTE BLVD |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487639969 | Jon J Soble | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2005-12-07 |
| 1588102081 | Stephanie Derouin | Nurse Practitioner | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2017-02-03 |
| 1023480217 | Advanced Urology Institute, LLC | Non-Pharmacy Dispensing Site | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2015-10-27 |
| 1346621992 | Michele Lee Martinez | Nurse Practitioner | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2015-06-09 |
| 1407249402 | Harold Jackson | Nurse Practitioner | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2015-03-15 |
| 1750492849 | Gregory Edward Lamendola | Orthopaedic Surgery | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-08-31 |
| 1679594402 | David Evan Burday | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-07-21 |
| 1588602999 | Southeastern Urological Center Pa | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-06-04 |
| 1912950296 | Jamey Alan Sarvis | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2006-05-18 |
| 1891746863 | Rebecca Hankins-ivey | Urology | 2000 Centre Pointe Blvd, Tallahassee, FL 32308 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396011714 | Melbourne Surgical Services, Ll | Clinic/Center | 800 Ocala Rd Ste 300, Tallahassee, FL 32304-1670 | 2012-03-29 |
| 1609148592 | I-4 West Surgical Services, LLC | Clinic/Center | 800 Ocala Rd # 300-346, Tallahassee, FL 32304-1669 | 2012-02-07 |
| 1255634044 | Red Hills Surgical Center, LLC | Clinic/Center | 1608 Surgeons Dr, Tallahassee, FL 32308-4631 | 2010-12-16 |
| 1598096323 | Nextmed Laser, LLC | Clinic/Center | 800 Ocala Rd # 300346, Tallahassee, FL 32304-1669 | 2010-01-18 |
| 1679662001 | Webster Surgical Center of Tallahassee LLC. | Clinic/Center | 2048 Centre Pointe Ln, Tallahassee, FL 32308-4300 | 2006-10-12 |
| 1417901018 | Tallahassee Single Day Surgery Ltd | Clinic/Center | 1661 Phillips Rd, Tallahassee, FL 32308-5303 | 2006-05-19 |
| 1396702528 | Tallahassee Neurosugery Pain Management LLC | Clinic/Center | 2824 Mahan Dr, Suite 2, Tallahassee, FL 32308-5403 | 2006-05-01 |
| 1184680225 | Capital City Surgical Center LLC | Clinic/Center | 2807 Capital Medical Blvd Ste 2, Tallahassee, FL 32308-8420 | 2006-04-26 |
| 1619336971 | Broward Stone Surgical Services, LLC | Clinic/Center | 800 Ocala Rd, #300-346, Tallahassee, FL 32304-1669 | 2016-02-15 |
| 1174993679 | First Coast Surgical Services, LLC | Clinic/Center | 800 Ocala Rd, Suite 300-346, Tallahassee, FL 32304-1669 | 2015-09-28 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on SOUTHEASTERN UROLOGICAL PARTNERS LTD.
| 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.