KISSIMMEE ENDOSCOPY CENTER ASSOCIATES, INC (NPI# 1366539629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366539629 |
Entity Type | Organization |
Organization Name | KISSIMMEE ENDOSCOPY CENTER ASSOCIATES, INC |
Practice Address |
715 Oak Commons Blvd Kissimmee FL 34741-4213 |
Practice Telephone | 4074630672 |
Practice Fax Number | 4075812777 |
Mailing Telephone | 4074630672 |
Mailing Fax Number | 4075812777 |
Enumeration Date | 2006-10-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. SHAMUS M HOLT (ADMINISTRATOR) |
Authorized Official Telephone | 4074630672 |
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 |
1130 | FL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | AHCA ASC LICENSE # | 1130 | 01 |
Street Address |
715 OAK COMMONS BLVD |
City | KISSIMMEE |
State | FL |
Zip Code | 34741-4213 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508856576 | Sreenivasan Asokan | Anesthesiology | 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2005-10-21 |
1124567706 | Osceola Gastroenterology Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2017-02-16 |
1891965992 | Ahp of Kissimmee LLC | Nurse Anesthetist, Certified Registered | 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2008-03-04 |
1639352347 | The Kissimmee Fl Endoscopy Asc LLC | Clinic/Center | 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2007-12-17 |
1275658213 | Independent Anesthesia Services Pa | Anesthesiology | 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2007-03-20 |
1477636470 | Janice L Heller | Nurse Anesthetist, Certified Registered | 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2006-10-23 |
1508894296 | Jaime M Rivera | Internal Medicine | 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2006-06-29 |
1194769836 | Syed K Lateef | Internal Medicine | 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2006-06-15 |
1477595056 | Kissimmee Endoscopy Center | Clinic/Center | 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2006-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
Find all providers in zip 34741 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538122684 | Kissimmee Surgicare Ltd | Clinic/Center | 2275 N Central Ave, Kissimmee, FL 34741-2342 | 2006-04-10 |
1639352347 | The Kissimmee Fl Endoscopy Asc LLC | Clinic/Center | 715 Oak Commons Blvd, Kissimmee, FL 34741-4213 | 2007-12-17 |
1184675704 | Doctors Surgery Center LLC | Clinic/Center | 921 N Main St, Kissimmee, FL 34744-4570 | 2006-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396351102 | University Medical Service Association Inc | Clinic/Center | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 |
1437764321 | Baptist Health Surgery Center, LLC | Clinic/Center | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 |
1538773890 | Asc of Trinity | Clinic/Center | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 |
1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
1780292359 | Gemini Ambulatory Surgical Center Incorporated | Clinic/Center | 7661 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2020-07-20 |
1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
1578188983 | Miami Beach Surgery Center, LLC | Clinic/Center | 400 W 41st St Ste 512, Miami Beach, FL 33140-3517 | 2020-06-11 |
1346865078 | Panhandle Outpatient Surgery Center | Clinic/Center | 1502 Creighton Rd Ste C, Pensacola, FL 32504-7143 | 2020-06-09 |
1033734793 | Naples Suncoast Surgery Center LLC | Clinic/Center | 2500 Goodlette Frank Rd Ste 200, Naples, FL 34103-4608 | 2020-06-09 |
1710501879 | Hz Surgery Center LLC | Clinic/Center | 17085 Porter Road, Suite 110, Winter Garden, FL 34787 | 2020-06-04 |
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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.