Howard Community Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

080027811 Issued in IN

Legal business name

HOWARD COMMUNITY SURGERY CENTER LLC

Practice address

3503 S Reed Rd
Kokomo, IN 46902-3838

Phone

(765) 864-5900

Fax

(765) 864-5979

NPI assigned

Jan 20, 2009

Last updated

Jan 20, 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

Mrs. Sheryl Gosnell

Title

Executive Director

Phone

(765) 864-5900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Community Surgery Center HowardCCN 15C0001109

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

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Community Howard Regional Health, Inc

  • General Acute Care Hospital
  • Kokomo, IN
  • NPI 1902878994

  Member Of

  NPD member
• Visionary Enterprises Inc

  • Prosthetic/Orthotic Supplier
  • Indianapolis, IN
  • NPI 1720284748

  Member Of

  NPD member

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.

• Blake William Marti, M.D.

  • Anesthesiology Physician
  • Indianapolis, IN
  • NPI 1417111758
  NPD

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1063659605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 S REED RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023838",
            "telephone_number": "765-864-5900",
            "fax_number": "765-864-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 S REED RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023838",
            "telephone_number": "765-864-5900",
            "fax_number": "765-864-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD COMMUNITY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "GOSNELL",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "765-864-5900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "080027811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200323050A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg Hostetler
• Steven Hott, MD
• Banipal Hovhanessian, MD
• Howard Community Ambulance Service
• Howard Community Hospital Board of (Community OB/GYN Center)
• Howard County Auditor (Howard County Health Department)
• Howard County Oral and Maxillofacial Surgeons
• Howard Regional Health System - Dar Wound Care
• Howard Regional MD Care Services
• Howard Regional Plastic Surgery

• Ambulatory Surgical Clinic/Center in Kokomo, IN
• Providers in Kokomo, 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 Jan 20, 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.