Active NPI
Surgery Center of Oak Ridge, LLC
Doing business as Advanced Family Surgery Center
- Ambulatory Surgical Clinic/Center
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0000000125
- Legal business name
- SURGERY CENTER OF OAK RIDGE, LLC
- Doing business as
- Advanced Family Surgery Center
- Practice address
- 944 Oak Ridge Tpke
Suite 200
Oak Ridge, TN 37830-6959 - Phone
- (865) 835-5000
- Fax
- (865) 835-5005
- NPI assigned
- Sep 26, 2005
- Last updated
- Apr 18, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sonya Swint
- Title
- Business Office Manager
- Phone
- (865) 865-5014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0000000125 | TN | Primary |
Addresses
Primary practice location
944 Oak Ridge Tpke
Suite 200
Oak Ridge, TN 37830-6959
Mailing address
944 Oak Ridge Tpke
Suite 200
Oak Ridge, TN 37830-6959
Phone (865) 865-5001
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0140258707 | Other | TN | CIGNA |
| 080037499 | Other | TN | EEOICP |
| 3148496 | Other | TN | BLUECROSS BLUESHIELD TN |
| 00003022 | Other | TN | NHC |
| 3288148 | Medicaid | TN | |
| A3783000 | Other | TN | JOHN DEERE |
| 36001022 | Other | KS | KENTUCKY MEDICAID |
Other names 1
- Advanced Family Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111128000464 | TN | Part B Supplier - Ambulatory Surgical Center | 6901070176 | Practice locations: Oak Ridge, TN |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Advanced Family Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0971335 | Advanced Family Surgery Center | Certificate of waiver | Mar 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
944 Oak Ridge Tpke
Ste 200
Oak Ridge, TN 37830
Phone (865) 835-5000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Oak Ridge, TN
- NPI 1710955315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713398400000",
"number": "1033105960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 OAK RIDGE TPKE",
"address_2": "SUITE 200",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306959",
"telephone_number": "865-865-5001",
"fax_number": "865-865-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 OAK RIDGE TPKE",
"address_2": "SUITE 200",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378306959",
"telephone_number": "865-835-5000",
"fax_number": "865-835-5005"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGERY CENTER OF OAK RIDGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A",
"authorized_official_last_name": "SWINT",
"authorized_official_first_name": "SONYA",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "865-865-5014",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TN",
"license": "0000000125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0140258707",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EEOICP",
"identifier": "080037499",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD TN",
"identifier": "3148496",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHC",
"identifier": "00003022",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3288148",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "A3783000",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY MEDICAID",
"identifier": "36001022",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Family Surgery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.