Organization Active NPI

Evansville Surgical Suites, LLC

Doing business as Evansville Advanced Surgical Suites, LLC

  • Ambulatory Surgical Clinic/Center
  • Evansville, IN
National Provider Identifier
1104696731
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
EVANSVILLE SURGICAL SUITES, LLC
Doing business as
Evansville Advanced Surgical Suites, LLC
Practice address
1120 Professional Blvd Ste a
Evansville, IN 47714-8000
Phone
(708) 275-7799
NPI assigned
Jan 4, 2024
Last updated
Jan 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Melissa McSherry, RN
Title
Director of Operations
Phone
(708) 275-7799

Specialties & licenses 1

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

Addresses

Primary practice location

1120 Professional Blvd Ste a
Evansville, IN 47714-8000

Mailing address

1236 Bemis Heights Ave
Schererville, IN 46375-6004
Phone (708) 275-7799

Other names 1

  • Evansville Advanced Surgical Suites, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1120 Professional Blvd
Ste A
Evansville, IN 47714
Phone (708) 275-7799

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1104696731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 BEMIS HEIGHTS AVE",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463756004",
            "telephone_number": "708-275-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 PROFESSIONAL BLVD STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148000",
            "telephone_number": "708-275-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSVILLE SURGICAL SUITES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "MCSHERRY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "708-275-7799",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evansville Advanced Surgical Suites, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.