UNIVERSITY SURGERY CENTER LLC


Address: 9848 N Tryon St, Suite 200, Charlotte, NC 28262-5512
Phone: 7045485200

UNIVERSITY SURGERY CENTER LLC (NPI# 1144652330) 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) 1144652330
Entity Type Organization
Organization Name UNIVERSITY SURGERY CENTER LLC
Other Organization Name MALLARD CREEK SURGERY CENTER
Practice Address 9848 N Tryon St
Suite 200
Charlotte
NC 28262-5512
Mailing Address Po Box 117444
Atlanta
GA 30368-7444
Practice Telephone 7045485200
Practice Fax Number 7043233933
Mailing Telephone 7043232000
Enumeration Date 2013-07-30
Last Update Date 2020-10-05
Authorized Official Name BRENT SHEAR (CFO)
Authorized Official Telephone 7043232222
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
00000 NC Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Mallard Creek Surgery Center Doing Business As Name - Organization

Office Location

Street Address 9848 N TRYON ST
SUITE 200
City CHARLOTTE
State NC
Zip Code 28262-5512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184617151 John Charles Harrison Physician Assistant 9848 N Tryon St, Charlotte, NC 28262-5512 2005-08-25
1548821366 Carissa Belle Cartelli Physician Assistant 9848 N Tryon St, Charlotte, NC 28262-5512 2019-06-24
1881177830 Richard Chase Johnston Physician Assistant 9848 N Tryon St, Charlotte, NC 28262-5512 2018-09-14
1285147793 Kevin Michael Mccullough Physician Assistant 9848 N Tryon St, Charlotte, NC 28262-5512 2017-11-07
1497170203 Kristen Tan Nurse Anesthetist, Certified Registered 9848 N Tryon St, Charlotte, NC 28262-5512 2014-03-03
1083962468 Shannon Swiatkiewicz Gross Specialist/Technologist 9848 N Tryon St, Charlotte, NC 28262-5512 2012-08-16
1275802696 Ashley Black Kernicky Physician Assistant 9848 N Tryon St, Charlotte, NC 28262-5512 2011-12-14
1265754311 Orthocarolina, Pa Physical Therapist 9848 N Tryon St, Charlotte, NC 28262-5512 2010-02-17
1083846471 Ryan Joseph Finotti Physical Therapist 9848 N Tryon St, Charlotte, NC 28262-5512 2009-08-18
1205956323 Matthew David Ohl Orthopaedic Surgery 9848 N Tryon St, Charlotte, NC 28262-5512 2007-03-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366056913 Aleta Michelle Johnson Specialist 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 2020-09-01
1275161580 Londyn Homecare Agency L.l.c Home Health 1914j.n. Place, Charlotte, NC 28262 2020-03-31
1154964914 Abundant Love Home Care Service LLC In Home Supportive Care 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 2019-10-24
1104399070 Nattya S Pilgreen Prosthetist 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 2019-01-03
1114404506 Laura Ida Anthony-getant Social Worker 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 2018-07-27
1720573587 Carolinas Center for Ambulatory Dentistry LLC Dentist 8415 Medical Plaza Drice, Charlotte, NC 28262 2018-06-25
1598254799 Cassandra Faye Harding Nurse Practitioner 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 2018-05-03
1669960746 Michael Riley In Home Supportive Care 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 2018-04-25
1568989804 Bridget Coomber Behavior Technician 8420 University Executive Dr Ste 810, Charlotte, NC 28262 2017-08-28
1073037701 Toshana Daley Physical Therapist 8801 Jm Keynes Blvd, Charlotte, NC 28262 2017-08-03
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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...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124594338 Charlotte Surgery Center, LLC Clinic/Center 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027 2018-10-16
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
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
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Competitor

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City CHARLOTTE
Zip Code 28262

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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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