RESURGENS EAST SURGERY CENTER, LLC (NPI# 1760834295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760834295 |
Entity Type | Organization |
Organization Name | RESURGENS EAST SURGERY CENTER, LLC |
Practice Address |
3241 Iris Dr Suite 100 Covington GA 30016 |
Practice Telephone | 6787127624 |
Practice Fax Number | 6787127642 |
Mailing Telephone | 6787127624 |
Mailing Fax Number | 6787127642 |
Enumeration Date | 2016-07-08 |
Last Update Date | 2020-07-29 |
Authorized Official Name | COLLIN LEMAISTRE (OFFICER / AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 4692503640 |
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 |
Street Address |
3241 IRIS DR SUITE 100 |
City | COVINGTON |
State | GA |
Zip Code | 30016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
1912263302 | Two Eyes LLC | Optometrist | 4200 Salem Road, Covington, GA 30016 | 2012-04-10 |
Find all providers in zip 30016 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
1558605204 | Ispm Asc At Covington, LLC | Clinic/Center | 5303 Adams St Ne Ste C, Covington, GA 30014-6209 | 2012-11-19 |
1528297140 | Ispm At Covington, LLC | Clinic/Center | 5303 Adams Street, Suite C, Covington, GA 30014 | 2009-07-02 |
1184806028 | Pontchartrain Surgery Center LLC | Clinic/Center | 4407 Hwy 190 Service Rd, East, Ste. 200, Covington, LA 70433 | 2007-12-03 |
1376616060 | Northshore Surgical Center, LLC | Clinic/Center | 71207 Highway 21 Ste B, Covington, LA 70433-7121 | 2006-11-17 |
1396735833 | Newton Rockdale Ambulatory Surgery Center | Clinic/Center | 4167 Hospital Dr Ne, Covington, GA 30014-2565 | 2005-10-26 |
1114440963 | East Atlanta Endoscopy Centers, LLC | Clinic/Center | 7229 Wheat St Ne, Covington, GA 30014-1566 | 2017-07-24 |
1497090740 | Olol Pontchartrain Surgery Center, LLC | Clinic/Center | 4407 Highway 190 East Service Rd, Ste 200, Covington, LA 70433-4957 | 2012-11-27 |
1477831360 | Georgia Ophthalmologists LLC | Clinic/Center | 4159 Mill St Ne, Covington, GA 30014-2546 | 2011-07-27 |
1295040350 | Normandy Surgical Suite LLC | Clinic/Center | 185 Greenbriar Blvd, Suite C, Covington, LA 70433-7234 | 2010-08-13 |
Find all providers in COVINGTON |
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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.