LASER AND OUTPATIENT SURGERY CENTER LLC (NPI# 1831116698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831116698 |
Entity Type | Organization |
Organization Name | LASER AND OUTPATIENT SURGERY CENTER LLC |
Practice Address |
6925 Nw 11th Pl Gainesville FL 32605-3101 |
Practice Telephone | 3523311590 |
Practice Fax Number | 3523310995 |
Mailing Telephone | 3523311590 |
Enumeration Date | 2006-07-17 |
Last Update Date | 2020-10-12 |
Authorized Official Name | JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 6152345900 |
Is Organization Subpart | Y |
Parent Organization Name | NOVAMED, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1253 | FL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RR MEDICARE | P00346824 | 01 | |
FL | 076650000 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457965832 | Laser and Outpatient Surgery Center LLC | Anesthesiology | 6925 Nw 11th Pl, Gainesville, FL 32605-3101 | 2020-09-03 |
Street Address |
6925 NW 11TH PL |
City | GAINESVILLE |
State | FL |
Zip Code | 32605-3101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457965832 | Laser and Outpatient Surgery Center LLC | Anesthesiology | 6925 Nw 11th Pl, Gainesville, FL 32605-3101 | 2020-09-03 |
1710073630 | Barbara C. Larson | Technician/Technologist | 6925 Nw 11th Pl, Gainesville, FL 32605-3101 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
Find all providers in zip 32605 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447491139 | William Albert Cates Greene Jr. | Clinic/Center | 2320 Limestone Pkwy, Gainesville, GA 30501-2087 | 2009-03-10 |
1093842270 | North Georgia Eye Surgery Center | Clinic/Center | 1485 Jesse Jewell Parkway, Suite 100, Gainesville, GA 30501 | 2007-02-27 |
1457425159 | Lakeshore Tubal Reversal Center | Clinic/Center | 2320 Limestone Parkway, Gainesville, GA 30501 | 2006-11-17 |
1023039385 | Northeast Georgia Plastic Surgery Associates, Plastic Surgery Center | Clinic/Center | 1296 Sims St, Suite B, Gainesville, GA 30501-3850 | 2006-07-22 |
1215993100 | Gainesville Surg Ctr Lp | Clinic/Center | 1945 Beverly Rd, Gainesville, GA 30501-2034 | 2006-04-21 |
1790752061 | North Florida Regional Freestanding Surgery Center Lp | Clinic/Center | 6705 Nw 10th Pl, Gainesville, FL 32605-4212 | 2006-03-04 |
1083689749 | Gainesville Fl Orthopaedic Asc LLC | Clinic/Center | 4600 W Newberry Rd, Gainesville, FL 32607-2247 | 2006-02-17 |
1982186425 | Center for Spine & Pain Medicine PC | Clinic/Center | 715 Queen City Pkwy Ste 106, Gainesville, GA 30501-4335 | 2018-08-31 |
1326494147 | Center for Spine & Pain Medicine PC | Clinic/Center | 1016 Thompson Bridge Rd, Gainesville, GA 30501-1704 | 2016-05-11 |
1891184826 | Surgical Center of North Florida, LLC | Clinic/Center | 6520 Nw 9th Blvd, Gainesville, FL 32605-4205 | 2015-01-14 |
Find all providers in GAINESVILLE |
City | GAINESVILLE |
Zip Code | 32605 |
Please comment or provide details below to improve the information on LASER AND OUTPATIENT 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.