Podiatric Medical Services for Ambulatoy Surgery, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PODIATRIC MEDICAL SERVICES FOR AMBULATOY SURGERY, INC

Practice address

#19 Sixth Street
Sugar Estate
St. Thomas, VI 00802

Phone

(340) 626-3714

Fax

(877) 349-0205

NPI assigned

Jun 27, 2017

Last updated

Jun 27, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Navetta Eudora Webster, BPH

Title

Special Projects Director

Phone

(340) 626-3714

Specialties & licenses 2

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1033639448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10012",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008013012",
            "telephone_number": "340-626-3714",
            "fax_number": "877-349-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#19 SIXTH STREET",
            "address_2": "SUGAR ESTATE",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-626-3714",
            "fax_number": "877-349-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PODIATRIC MEDICAL SERVICES FOR AMBULATOY SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "NAVETTA",
        "authorized_official_middle_name": "EUDORA",
        "authorized_official_title_or_position": "SPECIAL PROJECTS DIRECTOR",
        "authorized_official_telephone_number": "340-626-3714",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BPH"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "VI",
            "license": "1058",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "C000000083123",
            "state": "VI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in St Thomas, VI
• Providers in St Thomas, VI by specialty
• Ambulatory Surgical Clinic/Center in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.