Organization Active NPI

Medical Partners Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1093772667
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MEDICAL PARTNERS SURGERY CENTER LLC
Practice address
4545 Emerson Expressway
Jacksonville, FL 32207-4918
Phone
(904) 399-2600
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
Richard L Sharff Jr.
Title
VP/Secretary
Phone
(205) 545-2572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4545 Emerson Expressway
Jacksonville, FL 32207-4918

Mailing address

4545 Emerson Expressway
Jacksonville, FL 32207-4918

National Provider Directory

National Provider Directory

Member of 2

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

Locations

1405 S Orange Ave
Fl 5
Orlando, FL 32806

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1093772667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 EMERSON EXPRESSWAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 EMERSON EXPRESSWAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074918",
            "telephone_number": "904-399-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARTNERS SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "SHARFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP/SECRETARY",
        "authorized_official_telephone_number": "205-545-2572",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.