MEMPHIS SURGERY CENTER LTD, LP NPI 1003871104

Clinic/Center (Ambulatory Surgical) in Memphis, TN

About MEMPHIS SURGERY CENTER LTD, LP

Memphis Surgery Center Ltd, Lp is a provider in Memphis, TN. The NPI number assigned to this provider is 1003871104. The practitioner's primary taxonomy code is Clinic/Center (261QA1903X). The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Memphis Surgery Center.

NPI1003871104 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMEMPHIS SURGERY CENTER LTD, LP
Provider Location Address1044 CRESTHAVEN RD MEMPHIS, TN 38119 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1044 CRESTHAVEN RD MEMPHIS, TN 38119 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameMEMPHIS SURGERY CENTER Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date04-20-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-29-2015 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MEMPHIS SURGERY CENTER LTD, LP
1044 CRESTHAVEN RD
MEMPHIS, TN
ZIP 38119
Phone: (901) 682-1516
Get Directions

Mailing Address

MEMPHIS SURGERY CENTER LTD, LP
1044 CRESTHAVEN RD
MEMPHIS, TN
ZIP 38119
Phone:

Primary Taxonomy

Taxonomy Code261QA1903X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAmbulatory Surgical

Authorized Official

Authorized Official Name LEA HARBOR Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleVP
Authorized Official Phone(205) 545-2572

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
3287057MEDICARE PIN (08)TN

Map Location


MEMPHIS SURGERY CENTER LTD, LP address is 1044 CRESTHAVEN RD MEMPHIS, TN 38119

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558664854 TONYA DIXON
Individual
Registered Nurse (Ambulatory Care)1044 CRESTHAVEN RD
MEMPHIS, TN 38119
(901) 682-1516