Eynon Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EYNON SURGERY CENTER, LLC

Practice address

681 Scranton Carbondale Hwy
Eynon, PA 18403-1022

Phone

(570) 876-5900

Fax

(570) 876-5300

NPI assigned

Jul 11, 2008

Last updated

Apr 6, 2016By 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

Mr. David W. Holst

Title

President

Phone

61534566900

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

Eynon Surgery Center LLCCCN 39C0001148

Medicare certification status

Terminated Voluntary: merger or closure, Oct 12, 2023From the Provider of Services file

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1053575852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE ST",
            "address_2": "SUITE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192446",
            "telephone_number": "615-345-6900",
            "fax_number": "615-691-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "681 SCRANTON CARBONDALE HWY",
            "city": "EYNON",
            "state": "PA",
            "postal_code": "184031022",
            "telephone_number": "570-876-5900",
            "fax_number": "570-876-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYNON SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "HOLST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "61534566900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102268144 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elara Counseling LLC
• Makenna Nicole Enslin-Mell, DPT
• Kathleen Evanina, NP
• Eynon Hearing Aid Center
• Eynon Surgery Center
• Alan Frank, O.D.
• Frontenac Dialysis LLC (Eynon Dialysis)
• Jason J Hanyon, DMD
• Travis Malkolm Holmes
• Rachel Homitz, LCSW

• Ambulatory Surgical Clinic/Center in Eynon, PA
• Providers in Eynon, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.