St. Barbara's Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ST. BARBARA'S SURGERY CENTER, LLC

Practice address

1745 Heritage TRL
Naples, FL 34112-7591

Phone

(239) 350-3389

Fax

(239) 350-3390

NPI assigned

Aug 31, 2022

Last updated

Jan 23, 2024By 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

Lewis Woodell

Title

VP of RCM

Phone

(817) 291-6293

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Florida St Barbaras Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Florida St. Barbara's Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
  • NPI 1205718061
  NPD tax ID

Locations

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1053031872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 BARKLEY CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077530",
            "telephone_number": "239-985-7171",
            "fax_number": "239-985-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 HERITAGE TRL",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341127591",
            "telephone_number": "239-350-3389",
            "fax_number": "239-350-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. BARBARA'S SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "WOODELL",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "VP OF RCM",
        "authorized_official_telephone_number": "817-291-6293"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "RB456",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Helen Sprague, MSS, PTA, LMT
• Daniel Christopher Sprando, MD
• Spring Health Autism Intervention LLC
• SSCN LLC (Sacred Space Counseling Naples)
• St Cloud Hma Physician Management, LLC
• Beverly St. Preux
• Jennifer St.Hilaire
• Michael A Staab, MD
• Katie Stabile, LMHC
• Stabilized Steps, LLC

• Ambulatory Surgical Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.