Valley Surgical Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

2068 Issued in PA

Legal business name

VALLEY SURGICAL CENTER INC

Practice address

4250 Fritch Drive
Bethlehem, PA 18020

Phone

(610) 954-9040

Fax

(610) 954-9093

NPI assigned

May 22, 2006

Last updated

Mar 5, 2009By 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

Dr. Steven Allie Mortazavi, MDNPI 1902805252

Title

President

Phone

(610) 954-9040

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Valley Surgical Center IncCCN 39C0001217

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Allie Mortazavi, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Bethlehem, PA
  • NPI 1902805252
  NPD Authorized official

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1063466118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 FRITCH DRIVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18020",
            "telephone_number": "610-954-9040",
            "fax_number": "610-954-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 FRITCH DRIVE",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18020",
            "telephone_number": "610-954-9040",
            "fax_number": "610-954-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "MORTAZAVI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ALLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-954-9040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "2068",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Kidney Specialists, PC (Azura Valley Access Center)
• Valley of Joy Home Healthcare LLC
• Valley Pain Specialists PC
• Valley Perinatal Associates, PC
• Valley Sports Chiropractic LLC
• Valley Youth House Committee Inc
• Valley Youth House Committee Inc
• Kaycie Van Driel, DO
• Denice E. Van Driesen, O.T.R./L.
• Tyler Anderson Van Zant, DO

• Ambulatory Surgical Clinic/Center in Bethlehem, PA
• Providers in Bethlehem, 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 Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.