ROCK BRIDGE SURGICAL INSTITUTE, LLC


Address: 2500 Hospital Blvd, Suite 460, Roswell, GA 30076-4975
Phone: 7704104661

ROCK BRIDGE SURGICAL INSTITUTE, LLC (NPI# 1942413943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942413943
Entity Type Organization
Organization Name ROCK BRIDGE SURGICAL INSTITUTE, LLC
Practice Address 2500 Hospital Blvd
Suite 460
Roswell
GA 30076-4975
Mailing Address Po Box 100460
Atlanta
GA 30384-0460
Practice Telephone 7704104661
Practice Fax Number 7704104664
Mailing Telephone 7704104661
Mailing Fax Number 7704104664
Enumeration Date 2007-05-07
Last Update Date 2016-06-23
Authorized Official Name MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
Authorized Official Telephone 4698932153
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Office Location

Street Address 2500 HOSPITAL BLVD
SUITE 460
City ROSWELL
State GA
Zip Code 30076-4975

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396748513 Susanne Michele Hewitt Ophthalmology 2500 Hospital Blvd, Suite 115, Roswell, GA 30076-4907 2005-05-23
1447798715 North Fulton Hearing Center LLC Otolaryngology 2500 Hospital Blvd, Suite 450, Roswell, GA 30076-4907 2017-02-07
1770941825 Colorectal Pharmacy Inc Pharmacy 2500 Hospital Blvd, Suite 150-a, Roswell, GA 30076-4907 2016-02-03
1538403407 North Fulton Pulmonary Specialists, LLC Internal Medicine 2500 Hospital Blvd, Suite 420, Roswell, GA 30076-4907 2012-11-16
1346596921 Michele Poole Clark Advanced Practice Midwife 2500 Hospital Blvd, Suite 290, Roswell, GA 30076-4907 2012-08-01
1174888267 Parvathi Rayudu Ophthalmology 2500 Hospital Blvd, Suite 115, Roswell, GA 30076-4907 2012-07-05
1588932669 Georgia Spectrum Neurosurgical Specialists, LLC Neurological Surgery 2500 Hospital Blvd, Suite 310, Roswell, GA 30076-4907 2011-12-05
1083990501 Georgia Gifts From Grace LLC Obstetrics & Gynecology 2500 Hospital Blvd, Suite 290, Roswell, GA 30076-4907 2011-10-28
1659664720 Georgia North Fulton Healthcare Associates, LLC Family Medicine 2500 Hospital Blvd, Ste 340, Roswell, GA 30076-4977 2011-05-24
1255620159 Bruce E Bosse Mdpc Specialist 2500 Hospital Blvd, Suite 440, Roswell, GA 30076-4907 2011-03-31
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1245769637 Family Behavioral Health, LLC Clinic/Center 9275 Martin Rd, Roswell, GA 30076 2017-06-08
1093163750 Ryann Soutar Counselor 702 Macy Dr, Roswell, GA 30076 2016-06-02
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

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1346240751 Roswell Center for Foot & Ankle Surgery, LLC Clinic/Center 1357 Hembree Rd Ste 100, Roswell, GA 30076-5710 2005-07-28
1912388976 Roswell Pain Surgical Center Clinic/Center 1300 Upper Hembree Rd, Suite B, Roswell, GA 30076-0927 2015-06-16
1528339645 The Graivier Center Clinic/Center 1295 Hembree Rd, Bldg. B, Suite 100, Roswell, GA 30076-5721 2012-01-20
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1164664595 Alpharetta Head and Neck Surgical Center, LLC Clinic/Center 1360 Upper Hembree Rd, Suite 202, Roswell, GA 30076-1171 2009-03-31
1720085277 Roswell Surgery Center LLC Clinic/Center 1285 Hembree Rd, Ste 200c, Roswell, GA 30076-4995 2005-06-30

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1801413174 Pa-c Surgical Assist, LLC Clinic/Center 520 W Ponce Leon Ave #1706, Decatur, GA 30030 2020-07-02
1720602683 Georgia Eye Surgery LLC Clinic/Center 1620 Prince Ave Ste B, Athens, GA 30606-6008 2020-06-05
1750905618 Rsps Fayetteville Asc Lllp Clinic/Center 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 2020-06-05
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1699328369 Georgia Urology, Pa Clinic/Center 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 2019-07-22
1912563941 Commerce Ambulatory Surgery Center, Inc. Clinic/Center 417 Pottery Factory Dr, Commerce, GA 30529-6682 2019-05-15
1194283267 Georgia Interventional Pain - E, LLC Clinic/Center 100 Liberty Blvd Ste 220, Canton, GA 30114-2852 2019-03-07
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Competitor

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City ROSWELL
Zip Code 30076

Improve Information

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Dataset Information

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.

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