Active NPI
Novamed Surgery Center of Coral Springs LLC
Doing business as Coral Springs Surgical Center
- Ambulatory Surgical Clinic/Center
- Coral Springs, FL
National Provider Identifier
1043339625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- PENDING
- Legal business name
- NOVAMED SURGERY CENTER OF CORAL SPRINGS LLC
- Doing business as
- Coral Springs Surgical Center
- Practice address
- 1725 N University Dr
2ND Floor
Coral Springs, FL 33071-6089 - Phone
- (954) 227-7760
- Fax
- (954) 227-3036
- NPI assigned
- Mar 28, 2007
- 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
- Mr. Scott T Macomber
- Title
- Executive VP and Cfo
- Phone
- (312) 780-3234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | PENDING | FL | Primary |
Addresses
Primary practice location
1725 N University Dr
2ND Floor
Coral Springs, FL 33071-6089
Mailing address
5884 Reliable Pkwy
Chicago, IL 60686-0001
Phone (954) 227-7760
Other names 1
- Coral Springs Surgical Center
National Provider Directory
National Provider DirectoryLocations
5884 Reliable Pkwy
Chicago, IL 60686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043339625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5884 RELIABLE PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606860001",
"telephone_number": "954-227-7760",
"fax_number": "954-227-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 N UNIVERSITY DR",
"address_2": "2ND FLOOR",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716089",
"telephone_number": "954-227-7760",
"fax_number": "954-227-3036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVAMED SURGERY CENTER OF CORAL SPRINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MACOMBER",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "EXECUTIVE VP AND CFO",
"authorized_official_telephone_number": "312-780-3234",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "PENDING",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Coral Springs Surgical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.