Organization 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
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
PENDING Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.