MADISON SURGERY CENTER, LLC (NPI# 1356369755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356369755 |
| Entity Type | Organization |
| Organization Name | MADISON SURGERY CENTER, LLC |
| Practice Address |
460 Lanier Rd Madison AL 35758-2631 |
| Practice Telephone | 2563199000 |
| Practice Fax Number | 2563199009 |
| Mailing Telephone | 2563199000 |
| Mailing Fax Number | 2563199009 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY ANN KELLY (ADMINISTRATOR) |
| Authorized Official Telephone | 2563199000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
10441 | AL | Ambulatory Health Care Facilities |
| Street Address |
460 LANIER RD |
| City | MADISON |
| State | AL |
| Zip Code | 35758-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370029 | Robert A Pendley | Internal Medicine | 460 Lanier Rd, Ste 203, Madison, AL 35758 | 2005-10-19 |
| 1831334366 | Kimberly A Petersen | Nurse Anesthetist, Certified Registered | 460 Lanier Rd, Madison, AL 35758-2631 | 2008-12-12 |
| 1437338134 | Crissey V Watkins | Nurse Anesthetist, Certified Registered | 460 Lanier Rd, Madison, AL 35758-2631 | 2007-10-30 |
| 1396700688 | Sherry Kay Watson | Nurse Anesthetist, Certified Registered | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-19 |
| 1164487369 | Mark Isaac Copeland | Anesthesiologist Assistant | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-19 |
| 1932164555 | Michael Hamilton Fleming | Anesthesiologist Assistant | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-18 |
| 1336104942 | Kenneth Howard Maloney | Anesthesiologist Assistant | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-18 |
| 1891750584 | Andrew Charles Crider | Anesthesiologist Assistant | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-18 |
| 1205891736 | David C Celeski | Nurse Anesthetist, Certified Registered | 460 Lanier Rd, Madison, AL 35758-1866 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391619 | Madison Spine Surgery Center, LLC | Clinic/Center | 160 Fountains Blvd Ste C, Madison, MS 39110-6380 | 2019-11-22 |
| 1487094058 | Comprehensive Pain Center for Surgery | Clinic/Center | 129 Fountains Blvd., Madison, MS 39110 | 2013-06-27 |
| 1720017973 | Surgi Center of Greater Madison, LLC | Clinic/Center | 34 Schroeder Ct, Ste 100, Madison, WI 53711-2525 | 2006-07-01 |
| 1679570774 | Novamed Surgery Center of Madison, Limited Partnership | Clinic/Center | 1200 John Q Hammons Dr, Suite 102, Madison, WI 53717-1959 | 2005-07-05 |
| 1245233220 | Northridge Surgery Center, Lp | Clinic/Center | 647 Myatt Dr, Madison, TN 37115-2125 | 2005-05-24 |
| 1093214819 | Premier Surgical Center, LLC | Clinic/Center | 160 Fountains Blvd, Madison, MS 39110 | 2018-02-07 |
| 1528259686 | Madison Surgicare Center, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
| 1982895041 | Madison Neurosurgery, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
| 1609067768 | Madison General Surgery, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
| 1255522314 | Madison Pain Management, Pllc | Clinic/Center | 106 Highland Way, Madison, MS 39110-6915 | 2007-08-05 |
| Find all providers in MADISON | ||||
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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.