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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
00000 | NC | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Mallard Creek Surgery Center | Doing Business As Name - Organization |
Street Address |
9848 N TRYON ST SUITE 200 |
City | CHARLOTTE |
State | NC |
Zip Code | 28262-5512 |
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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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 |
Find all providers in zip 28262 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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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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.