CHARLOTTE SURGERY CENTER, LLC (NPI# 1124594338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124594338 |
| Entity Type | Organization |
| Organization Name | CHARLOTTE SURGERY CENTER, LLC |
| Practice Address |
3621 Randolph Rd Ste 200 Charlotte NC 28211-0027 |
| Practice Telephone | 7043771647 |
| Mailing Telephone | 7043771647 |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |
| Authorized Official Name | THOMAS JAMES LALLY (CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Telephone | 7043771647 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHARLOTTE SURGERY CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Charlotte Surgery Center-Wendover Campus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891750998 | Charlotte Surgery Center, LLC | Clinic/Center | 2825 Randolph Rd, Charlotte, NC 28211-1075 | 2006-04-20 |
| Street Address |
3621 RANDOLPH RD STE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-0027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770893497 | The Refine Institute | Clinic/Center | 7725 Ballantyne Commons Pkwy, Suite 101, Charlotte, NC 28277-2442 | 2010-10-15 |
| 1083751788 | Sameday Surgery Center | Clinic/Center | 1800 East Fourth Street, Charlotte, NC 28204-3536 | 2007-01-31 |
| 1760418917 | Waveco LLC | Clinic/Center | 1822 Brunswick Ave, Charlotte, NC 28207-1820 | 2006-06-22 |
| 1700837028 | Presbyterian Regional Healthcare Corp | Clinic/Center | 1800 E 4th St, Charlotte, NC 28204-3210 | 2006-05-12 |
| 1144652330 | University Surgery Center LLC | Clinic/Center | 9848 N Tryon St, Suite 200, Charlotte, NC 28262-5512 | 2013-07-30 |
| 1619124401 | Charlotte Gastroenterology & Hepatology, Pllc | Clinic/Center | 15830 Ballantyne Medical Place, Suite 175, Charlotte, NC 28277-3295 | 2008-08-22 |
| 1851548655 | Charlotte Gastroenterology & Hepatology, Pllc | Clinic/Center | 2015 Randolph Rd, Suite 101, Charlotte, NC 28207-1128 | 2008-08-22 |
| 1215061049 | Presbyterian Sameday Surgery Center At Ballantyne LLC | Clinic/Center | 14215 Ballantyne Corporate Pl Ste 210, Charlotte, NC 28277-3873 | 2007-03-15 |
| 1437221660 | Endoscopy Center - University, LLC | Clinic/Center | 101 E Wt Harris Blvd, Suite 3215, Charlotte, NC 28262-3485 | 2006-11-14 |
| 1063584415 | Carolina Digestive Endoscopy Center | Clinic/Center | 300 Billingsley Road, Suite 200b, Charlotte, NC 28211-3092 | 2006-11-14 |
| Find all providers in CHARLOTTE | ||||
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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.