SOUTHEASTERN AMBULATORY SURGERY CENTER, LLC (NPI# 1972911030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972911030 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN AMBULATORY SURGERY CENTER, LLC |
| Other Organization Name | THE SURGERY CENTER AT SOUTHEASTERN HEALTH PARK |
| Practice Address |
4901 Dawn Dr Suite 1100 Lumberton NC 28360-8207 |
| Practice Telephone | 9108872361 |
| Practice Fax Number | 9108872370 |
| Mailing Telephone | 9108872361 |
| Mailing Fax Number | 9108872370 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-10-09 |
| Authorized Official Name | MRS. PAULA REVELS LOCKLEAR (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 9108872361 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
NC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Surgery Center at Southeastern Health Park | Doing Business As Name - Organization |
| Street Address |
4901 DAWN DR SUITE 1100 |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28360-8207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569166 | Thomas Francis Florian | Physical Medicine & Rehabilitation | 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 | 2005-06-28 |
| 1881046035 | Sashah Davis | Specialist/Technologist | 4901 Dawn Dr, Lumberton, NC 28360-8287 | 2016-07-11 |
| 1720434525 | Southeastern Health Physician Services | Clinic/Center | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8287 | 2016-05-11 |
| 1518332162 | Brendon Michael Jonsson | Specialist/Technologist | 4901 Dawn Dr, Suite 2300, Lumberton, NC 28360-8287 | 2015-12-08 |
| 1790152668 | Southeastern Regional Medical Center | General Acute Care Hospital | 4901 Dawn Dr, Lumberton, NC 28360-8287 | 2015-08-27 |
| 1235506569 | Jamie Young | Nurse Practitioner | 4901 Dawn Dr, Suite 2300, Lumberton, NC 28360-8287 | 2015-08-21 |
| 1699179903 | Carolina Bays Anesthesia, P.C. | Anesthesiology | 4901 Dawn Dr, Suite 1100, Lumberton, NC 28360-8207 | 2014-10-15 |
| 1548672504 | Southeastern Regional Physician Services | Internal Medicine | 4901 Dawn Dr, 3rd Floor Suite 4, Lumberton, NC 28360-8207 | 2014-05-27 |
| 1578975611 | Southeastern Regional Physician Services | Physical Medicine & Rehabilitation | 4901 Dawn Dr, 3rd Floor Suite 1, Lumberton, NC 28360-8207 | 2014-05-23 |
| 1558773770 | Southeastern Regional Physician Services | Orthopaedic Surgery | 4901 Dawn Dr, 2nd Floor Suite 3, Lumberton, NC 28360-8207 | 2014-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387003 | Heather Lynn Cook | Specialist/Technologist | 4901 Dawn Drive Ste. 2300, Lumberton, NC 28360 | 2020-05-07 |
| 1093363780 | Michael Paul Hammonds | Technician | 112 Ethel Dr, Lumberton, NC 28360 | 2019-08-27 |
| 1679120646 | Helen G. Eller | Technician | 2066 Us Hwy 74 West, Lumberton, NC 28360 | 2019-08-23 |
| 1659846541 | Cassaundra Paige Locklear | Counselor | 1560 Oak Grove Church Road, Lumberton, NC 28360 | 2018-10-08 |
| 1689114191 | Neketa Floyd | Counselor | 3531 Lacky Street, Lumberton, NC 28360 | 2017-03-02 |
| 1912458753 | Rosa Keng Jou-zhang | Physician Assistant | 4901 Dawn Drive Suite 3400, Southeastern Neurological Center, Lumberton, NC 28360 | 2016-10-17 |
| 1891179453 | Chaqulla Woods | Social Worker | 107 Angel Dr, Lumberton, NC 28360 | 2015-07-14 |
| 1780089490 | Craig Slotke | Dentist | 600 Country Club Road, Robeson County Community Service Learning Center, Lumberton, NC 28360 | 2014-10-24 |
| 1538563473 | East Carolina University School of Dental Medicine-lumberton | Dentist | 600 Country Club Dr., Lumberton, NC 28360 | 2014-10-21 |
| 1033436266 | Primary Health Choice, Inc. | Community/Behavioral Health | 107e Mount Moriah Church Road, Lumberton, NC 28360 | 2010-04-28 |
| Find all providers in zip 28360 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477941649 | Southeastern Asc | Clinic/Center | 2600 N Elm St, Lumberton, NC 28358-3011 | 2014-12-22 |
| 1982880274 | Burlington County Endoscopy Center LLC | Clinic/Center | 140 Mount Holly By Pass, Unit 5, Lumberton, NJ 08048-1114 | 2008-01-16 |
| 1588720072 | Southeastern Gastroenterology Endoscopy Center, Pa | Clinic/Center | 101 W 27th St, Lumberton, NC 28358-3014 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342481 | Piedmont Asc LLC | Clinic/Center | 7819 National Service Rd Ste 404, Greensboro, NC 27409-9401 | 2020-10-02 |
| 1558983833 | Triad Center for Surgery, LLC | Clinic/Center | 180 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6970 | 2020-05-10 |
| 1922639426 | Associated Health Services, Inc. | Clinic/Center | 5601 Arringdon Park Dr, Morrisville, NC 27560-5643 | 2020-02-03 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1528521887 | Novant Health Clemmons Outpatient Surgery, LLC | Clinic/Center | 7210 Village Medical Circle, Suite # 235, Clemmons, NC 27012 | 2019-04-12 |
| 1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1124594338 | Charlotte Surgery Center, LLC | Clinic/Center | 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027 | 2018-10-16 |
| 1750892659 | Novant Health Kernersville Outpatient Surgery LLC | Clinic/Center | 1730 Kernersville Medical Pkwy Ste 304, Kernersville, NC 27284-7198 | 2017-10-18 |
| 1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
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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.