CAPITOL SURGERY CENTER LLC (NPI# 1851520514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851520514 |
| Entity Type | Organization |
| Organization Name | CAPITOL SURGERY CENTER LLC |
| Other Organization Name | WAVERLY LAKE SURGERY CENTER |
| Practice Address |
633 Waverly Dr Se Albany OR 97322-5078 |
| Practice Telephone | 8583493961 |
| Mailing Telephone | 5419184210 |
| Mailing Fax Number | 5419184215 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2019-03-05 |
| Authorized Official Name | JENNIFER D KOLB (ADMINISTRATOR) |
| Authorized Official Telephone | 5419184210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 07-1602 | OR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Waverly Lake Surgery Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CAPITOL SURGERY CENTER LLC | 633 Waverly Dr Se, Albany, OR 97322 |
| Street Address |
633 WAVERLY DR SE |
| City | ALBANY |
| State | OR |
| Zip Code | 97322-5078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083109748 | Benjamin Voth | Counselor | 1858 Grand Prairie Rd Se, Albany, OR 97322 | 2018-06-26 |
| 1033534748 | Willamette Orthotics & Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 1630 9th Ave Se, Albany, OR 97322 | 2014-03-04 |
| 1699035998 | Morgan William Brown | Behavioral Analyst | 1885 21 St Ave Se Apt 44, Albany, OR 97322 | 2012-05-21 |
| 1780986059 | Gene Vang | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322 | 2010-11-18 |
| 1427362912 | Kate Fredrickson | Speech-Language Pathologist | 5353 Columbus St. Se, Albany, OR 97322 | 2010-07-27 |
| 1689906455 | Sandy Janiszewski | Registered Nurse | 1970 4th Ave. Se, Ste 120, Albany, OR 97322 | 2010-02-04 |
| 1841527066 | Karina Leonore Towers | Speech-Language Pathologist | 5353 Columbus Street Se, Albany, OR 97322 | 2009-11-09 |
| 1548497951 | T.c.s. Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3012 Se Oakwood Avenue, Albany, OR 97322 | 2009-06-12 |
| 1790932952 | Ramel C Romero | Physical Therapist | 5353 Colombus St Se, Albany, OR 97322 | 2008-08-19 |
| 1023275492 | Michael James | Hearing Instrument Specialist | 1610 9th Av. Se, Albany, OR 97322 | 2008-05-21 |
| Find all providers in zip 97322 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750754644 | Sarana Community Acupuncture Inc. | Clinic/Center | 970 San Pablo Ave, Albany, CA 94706-2010 | 2015-11-02 |
| 1861808966 | Catherine Macomber | Clinic/Center | 1430 Western Ave, Albany, NY 12203-3422 | 2014-07-09 |
| 1487083671 | Fastrack Urgent Care LLC | Clinic/Center | 2822 Nottingham Way, Albany, GA 31707-7629 | 2013-11-07 |
| 1659627131 | Phoebe Gastroenterology Associates | Clinic/Center | 2740 Ray Knight Way, Ste 100, Albany, GA 31707-0226 | 2012-08-02 |
| 1639441801 | William Joseph Cromie | Clinic/Center | 157 Lancaster Street, Albany, NY 12210-1903 | 2012-02-03 |
| 1417279548 | Monarch Medical Group LLC | Clinic/Center | 1970 14th Ave Se Ste 120, Albany, OR 97322-8504 | 2010-02-16 |
| 1477709871 | Active Family Chiropractic, PC | Clinic/Center | 3 Pine West Plz Ste 304, Washington Avenue Extension, Albany, NY 12205-5522 | 2008-08-18 |
| 1881755601 | Upper Hudson Planned Parenthood Inc. | Clinic/Center | 855 Central Ave., Albany, NY 12206 | 2006-12-13 |
| 1154406221 | Pearl Street Counseling Center, Inc. | Clinic/Center | 109 State St, Albany, NY 12207-1622 | 2006-10-26 |
| 1649727678 | Albany College of Pharmacy and Health Sciences | Clinic/Center | 106 New Scotland Ave, Department of Pharmacy Practice, Albany, NY 12208-3425 | 2016-09-07 |
| Find all providers in ALBANY | ||||
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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.