NORTHLAND EYE SURGERY CENTER, LLC (NPI# 1598879512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598879512 |
| Entity Type | Organization |
| Organization Name | NORTHLAND EYE SURGERY CENTER, LLC |
| Practice Address |
100 N Clayview Dr Suite A Liberty MO 64068-1117 |
| Practice Telephone | 8167921900 |
| Practice Fax Number | 8167923548 |
| Mailing Telephone | 8167921900 |
| Mailing Fax Number | 8167923548 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. TYLER F BRUNDIGE (PRESIDENT) |
| Authorized Official Telephone | 8167921900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
183-0 | MO | Ambulatory Health Care Facilities |
| Street Address |
100 N CLAYVIEW DR SUITE A |
| City | LIBERTY |
| State | MO |
| Zip Code | 64068-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316168966 | Christopher Lance Carlson | Emergency Medicine | 100 N Clayview Dr, Liberty, MO 64068-1115 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437258 | Midwestern Medical Consultants LLC | Assisted Living Facility | 227 W. Franklin St, Liberty, MO 64068 | 2019-09-26 |
| 1063935062 | Jennifer Nichole Gibson | Nurse Practitioner | Liberty Hospital 2525 Glen Hendren Dr, Liberty, MO 64068 | 2017-07-21 |
| 1598288755 | Lhlc Operations, LLC | Skilled Nursing Facility | 2609 Glenn Hendren Dr Ste G100, Liberty, MO 64068 | 2017-07-19 |
| 1023438371 | Sarah E Ehlers | Social Worker | 1170 W. Kansas Ave, Bldg 10, Liberty, MO 64068 | 2014-04-24 |
| 1629498563 | Kelli Hedgpeth | Physical Therapy Assistant | 3980 South Jackson Dr, Independence, MO 64068 | 2014-04-18 |
| 1639593965 | Klein Dental Group LLC | Clinic/Center | 12 Westwoods Dr, Liberty, MO 64068 | 2014-02-06 |
| 1124457239 | Sarah Ehlers, Lcsw LLC | Social Worker | 1170 W Kansas Ave, Bldg 10, Liberty, MO 64068 | 2013-11-08 |
| 1134561558 | Holly Hemphill | Marriage & Family Therapist | 117 N. Water Street, Liberty, MO 64068 | 2013-07-26 |
| 1093157133 | Tina Wilma Sanborn | Marriage & Family Therapist | 1170 W. Kansas St., Liberty, MO 64068 | 2013-07-17 |
| 1609215441 | Timothy Adam Lynch | Marriage & Family Therapist | 1170 West Kansas Ave., Liberty, MO 64068 | 2013-06-14 |
| Find all providers in zip 64068 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336364231 | Surgery Center At Liberty Hospital, L.L.C. | Clinic/Center | 2529 Glenn Hendren Dr Ste 100, Liberty, MO 64068-9601 | 2007-04-16 |
| 1831206085 | Liberty Ambulatory Surgery Center Lp | Clinic/Center | 834 W Kansas St, Ste B, Liberty, MO 64068-2033 | 2006-08-24 |
| 1225070527 | Liberty Cataract Center LLC | Clinic/Center | 1100 W College St, Liberty, MO 64068-1119 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393130 | United Surgical Center, LLC | Clinic/Center | 638 Chamblee Ln, Creve Coeur, MO 63141-7323 | 2020-07-22 |
| 1801443320 | St. Luke's Surgery Center of Chesterfield, LLC | Clinic/Center | 111 St. Luke's Center Drive, Bldg B, Suite 500, Chesterfield, MO 63017-3509 | 2019-08-20 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1467925180 | Metro St Louis Surgery Center LLC | Clinic/Center | 1035 Bellevue Ave Ste 117, Saint Louis, MO 63117-1854 | 2019-01-04 |
| 1295207587 | Commons South Surgery Center, LLC | Clinic/Center | 12345 W Bend Dr Ste 201, Saint Louis, MO 63128-2254 | 2018-12-26 |
| 1922574391 | The Phoenix Oversight and Consulting, LLC. | Clinic/Center | 7746 Rannells Ave, Saint Louis, MO 63143-1823 | 2018-10-23 |
| 1700363611 | Apollo Ambulatory Surgery Center, LLC | Clinic/Center | 10012 Manchester Rd, Saint Louis, MO 63122-1826 | 2018-07-24 |
| 1336649565 | Advanced Surgical Care of St. Louis, LLC | Clinic/Center | 232 Mayfair Plaza Shopping Ctr, Florissant, MO 63033-8009 | 2018-02-14 |
| 1730698374 | Advanced Surgical Center of Sunset Hills LLC | Clinic/Center | 4594 S Lindbergh Blvd, Saint Louis, MO 63127 | 2017-09-27 |
| 1093224297 | United Physicians Group, LLC | Clinic/Center | 1100 Town and Country Commons Dr # 7805, Town and Country, MO 63017-8285 | 2017-09-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORTHLAND EYE SURGERY CENTER, LLC.
| 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.