St Lukes Surgical Center

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ST LUKES SURGICAL CENTER

Practice address

43309 US Highway 19 N
Tarpon Springs, FL 34689-6221

Phone

(727) 938-2020

Fax

(727) 943-3334

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Davis

Title

Credentialing/Billing Supervisor

Phone

(727) 943-3111

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210204800000",
    "number": "1063453082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-938-2020",
            "fax_number": "727-943-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-938-2020",
            "fax_number": "727-943-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-05-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CREDENTIALING/BILLING SUPERVISOR",
        "authorized_official_telephone_number": "727-943-3111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• SS Pinellas X Community HC LLC
• St Lukes Cataract & Laser Institute
• St Lukes Surgical Center Inc
• St Lukes Surgical Center Inc
• Melanie Marie Stalbird, APRN
• Sarah Dyanne Stefanick
• Stillwaters Assessment & Neuropsychological Services

• Ophthalmology Physician in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.