PALM BEACH SURGERY CENTER LLC (NPI# 1972613545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972613545 |
| Entity Type | Organization |
| Organization Name | PALM BEACH SURGERY CENTER LLC |
| Practice Address |
1157 S State Road 7 Wellington FL 33414-6101 |
| Practice Telephone | 5617953330 |
| Practice Fax Number | 5617951030 |
| Mailing Telephone | 5617953330 |
| Mailing Fax Number | 5617951030 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-10-08 |
| Authorized Official Name | KRISHNA TRIPURANENI (OWNER) |
| Authorized Official Telephone | 5617953330 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1185 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 075618100 | 05 | |
| FL | BCBS | 6E5 | 01 |
| FL | MEDICARE PTAN | F1412 | 01 |
| Street Address |
1157 S STATE ROAD 7 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194726877 | Jesus V Cutillar | Anesthesiology | 1157 S State Road 7, Wellington, FL 33414-6101 | 2005-08-03 |
| 1629531488 | Wellington Endo LLC | Clinic/Center | 1157 S State Road 7, Wellington, FL 33414-6101 | 2019-04-09 |
| 1629508387 | Wellington Endoscopy Center LLC | Clinic/Center | 1157 S State Road 7, Wellington, FL 33414-6101 | 2017-06-15 |
| 1720526320 | Gastro Health, LLC | Pharmacist | 1157 S State Road 7, Wellington, FL 33414-6101 | 2017-02-03 |
| 1114303880 | Rt Surgery Center, LLC | Internal Medicine | 1157 S State Road 7, Wellington, FL 33414-6101 | 2015-08-05 |
| 1568848240 | Wellington Anesthesia, LLC | Internal Medicine | 1157 S State Road 7, Wellington, FL 33414-6101 | 2015-08-05 |
| 1912383738 | Gastroenterology Associates of Wellington, LLC | Internal Medicine | 1157 S State Road 7, Wellington, FL 33414-6101 | 2015-08-04 |
| 1699113886 | Raven Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1157 S State Road 7, Wellington, FL 33414-6101 | 2013-06-10 |
| 1073812376 | Palm Beach Endoscopy and Surgery Center LLC | Clinic/Center | 1157 S State Road 7, Wellington, FL 33414-6101 | 2011-03-25 |
| 1154629541 | Isha Kothari | Physician Assistant | 1157 S State Road 7, Wellington, FL 33414-6101 | 2011-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467937623 | Memorial Healthcare System Ambulatory Care Center, LLC | Clinic/Center | 3377 South State Road 7 Suite 200, Wellington, FL 33449-8082 | 2018-10-03 |
| 1568458784 | Surgery Center At Wellington | Clinic/Center | 1395 S State Road 7, Wellington, FL 33414-9326 | 2005-09-22 |
| 1629531488 | Wellington Endo LLC | Clinic/Center | 1157 S State Road 7, Wellington, FL 33414-6101 | 2019-04-09 |
| 1629508387 | Wellington Endoscopy Center LLC | Clinic/Center | 1157 S State Road 7, Wellington, FL 33414-6101 | 2017-06-15 |
| 1215319645 | Medical Park Surgery Center LLC | Clinic/Center | 1447 Medical Park Blvd, Suite 300, Wellington, FL 33414-3164 | 2015-06-22 |
| 1073812376 | Palm Beach Endoscopy and Surgery Center LLC | Clinic/Center | 1157 S State Road 7, Wellington, FL 33414-6101 | 2011-03-25 |
| 1972818557 | Surgical Arts Pavilion LLC | Clinic/Center | 3319 State Road 7, Ste 105, Wellington, FL 33449-8094 | 2010-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351102 | University Medical Service Association Inc | Clinic/Center | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 |
| 1437764321 | Baptist Health Surgery Center, LLC | Clinic/Center | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 |
| 1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1780292359 | Gemini Ambulatory Surgical Center Incorporated | Clinic/Center | 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2020-07-20 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1578188983 | Miami Beach Surgery Center, LLC | Clinic/Center | 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 | 2020-06-11 |
| 1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
| 1033734793 | Naples Suncoast Surgery Center LLC | Clinic/Center | 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 | 2020-06-09 |
| 1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
Please comment or provide details below to improve the information on PALM BEACH SURGERY CENTER 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.