NOVANT HEALTH CLEMMONS OUTPATIENT SURGERY, LLC (NPI# 1528521887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528521887 |
| Entity Type | Organization |
| Organization Name | NOVANT HEALTH CLEMMONS OUTPATIENT SURGERY, LLC |
| Practice Address |
7210 Village Medical Circle Suite # 235 Clemmons NC 27012 |
| Mailing Address |
101 N Cherry St Ste 600 Winston Salem NC 27101-4013 |
| Practice Telephone | 3368933100 |
| Practice Fax Number | 3368933109 |
| Mailing Telephone | 3362771604 |
| Mailing Fax Number | 3362779584 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | GERALD OSBORNE GREEN (ADMINISTRATOR ASC) |
| Authorized Official Telephone | 3362771782 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| Street Address |
7210 VILLAGE MEDICAL CIRCLE SUITE # 235 |
| City | CLEMMONS |
| State | NC |
| Zip Code | 27012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697978 | Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | 7210 Village Medical Circel, Ste 235, Clemmons, NC 27012 | 2020-01-02 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1548661606 | Novant Medical Group, Inc | Orthopaedic Surgery | 7138 Village Medical Circle, Clemmons, NC 27012 | 2014-09-09 |
| 1912323635 | Lutheran Home - Forsyth County, Inc. | Skilled Nursing Facility | 7449 Fair Oaks Drive, Clemmons, NC 27012 | 2014-03-06 |
| 1487910758 | Kelly Elizabeth Kirkpatrick | Specialist/Technologist | 1735 Lewisville Clemmons Road, West Forsyth High School, Clemmons, NC 27012 | 2012-04-11 |
| 1366613663 | Psimed Pa | Psychiatry & Neurology | 2511-d Neudorf Rd, Clemmons, NC 27012 | 2008-03-14 |
| 1871797688 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 5175 Old Clemmons School Road, Clemmons, NC 27012 | 2007-06-14 |
| 1700970878 | Thomas M Anderson Dds Pa | Clinic/Center | 2245 Lewisville Clemmons Road Suite B, Clemmons, NC 27012 | 2006-10-03 |
| 1902998941 | Steven A Cuccia Dds Pa | Dentist | 2265 Lewisville Clemmons Rd, Suite A, Clemmons, NC 27012 | 2006-09-28 |
| 1649371402 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 3629 Clemmons Road, Clemmons, NC 27012 | 2006-09-26 |
| Find all providers in zip 27012 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342481 | Piedmont Asc LLC | Clinic/Center | 7819 National Service Rd Ste 404, Greensboro, NC 27409-9401 | 2020-10-02 |
| 1558983833 | Triad Center for Surgery, LLC | Clinic/Center | 180 Kimel Park Dr Ste 200, Winston Salem, NC 27103-6970 | 2020-05-10 |
| 1922639426 | Associated Health Services, Inc. | Clinic/Center | 5601 Arringdon Park Dr, Morrisville, NC 27560-5643 | 2020-02-03 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1124594338 | Charlotte Surgery Center, LLC | Clinic/Center | 3621 Randolph Rd Ste 200, Charlotte, NC 28211-0027 | 2018-10-16 |
| 1750892659 | Novant Health Kernersville Outpatient Surgery LLC | Clinic/Center | 1730 Kernersville Medical Pkwy Ste 304, Kernersville, NC 27284-7198 | 2017-10-18 |
| 1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
| 1225568884 | Wake Forest Ambulatory Ventures, LLC | Clinic/Center | 6441 Kinnamon Ct, Winston-salem, NC 27103 | 2017-06-15 |
| Find all providers with the same taxonomy | ||||
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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.