Wartburg Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0000000133 Issued in TN

Legal business name

WARTBURG SURGERY CENTER LLC

Practice address

1236 Knoxville Hwy
Wartburg, TN 37887-4200

Phone

(423) 346-2015

Fax

(423) 346-7541

NPI assigned

Jul 8, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Timothy S Ochs, CRNANPI 1114920105

Title

Co-Owner

Phone

(423) 346-2015

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Wartburg Surgery CenterCCN 44C0001114

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

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

• Timothy Sutton Ochs, CRNA, APN

  • Certified Registered Nurse Anesthetist
  • Wartburg, TN
  • NPI 1114920105
  NPD (past) Authorized official
• Conway Ella, CRNA

  • Certified Registered Nurse Anesthetist
  • Harriman, TN
  • NPI 1487607537
  NPD (past)

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104055425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378870388",
            "telephone_number": "423-346-2015",
            "fax_number": "423-346-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 KNOXVILLE HWY",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "378874200",
            "telephone_number": "423-346-2015",
            "fax_number": "423-346-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARTBURG SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OCHS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "423-346-2015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517029",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Michelle Vespie, RN
• Walgreen Co
• Wartburg Ambulatory Care
• Wartburg Medical Investors LP
• Wartburg Pharmacy Inc
• Megan Whaley
• Samantha Dale Williams Hensley, PHARMD

• All providers in Wartburg, TN
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.