Beacon Specialty Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BEACON SPECIALTY SURGERY CENTER, LLC

Practice address

100 Navarre PL
Suite 4405
South Bend, IN 46601-1156

Phone

(574) 251-3406

NPI assigned

Feb 19, 2007

Last updated

Oct 26, 2017By 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

Cheri Sarasin

Title

Director

Phone

(574) 647-8880

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1063556421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NAVARRE PL",
            "address_2": "SUITE 4405",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011156",
            "telephone_number": "574-251-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NAVARRE PL",
            "address_2": "SUITE 4405",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011156",
            "telephone_number": "574-251-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON SPECIALTY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "SARASIN",
        "authorized_official_first_name": "CHERI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "574-647-8880"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon Medical Group, Inc.
• Beacon Medical Group, Inc. (Beacon Medical Group Neurology)
• Beacon Medical Group, Inc. (Beacon Medical Group Cardiothoracic Surgery South Bend)
• Beacon Medical Group, Inc. (Beacon Medical Group Vascular Interventional Radiology)
• Beacon Medical Group, Inc. (Beacon Medical Group Pediatric Hematology Oncology)
• Evan Beakas
• Jennifer Marie Beam, FNP
• Amber Beamer-Rohde, MSW
• Dayshia Bean
• Lawrence James Beane Jr.

• Ambulatory Surgical Clinic/Center in South Bend, IN
• Providers in South Bend, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.