Active NPI
Andrews Institute ASC LLC
- Ambulatory Surgical Clinic/Center
- Gulf Breeze, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ANDREWS INSTITUTE ASC LLC
- Practice address
- 1040 Gulf Breeze Parkway
Suite 100
Gulf Breeze, FL 32561 - Phone
- (850) 916-8500
- Fax
- (850) 916-8509
- NPI assigned
- Oct 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph L Story, MD
- Title
- Chairman of Board of Managers
- Phone
- (850) 469-2338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | FL | Primary |
Addresses
Primary practice location
1040 Gulf Breeze Parkway
Suite 100
Gulf Breeze, FL 32561
Mailing address
1040 Gulf Breeze Parkway
Suite 100
Gulf Breeze, FL 32561
Phone (850) 916-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070530000095 | FL | Part B Supplier - Ambulatory Surgical Center | 5698872554 | Practice locations: Gulf Breeze, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Andrews Institute Ambulatory Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1066283 | Andrews Institute ASC LLC | Certificate of waiver | Mar 20, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1040 Gulf Breeze Pkwy
Ste 100
Gulf Breeze, FL 32561
Phone (850) 916-8500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- Amarillo, TX
- NPI 1821071895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104907328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 GULF BREEZE PARKWAY",
"address_2": "SUITE 100",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "32561",
"telephone_number": "850-916-8500",
"fax_number": "850-916-8509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 GULF BREEZE PARKWAY",
"address_2": "SUITE 100",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "32561",
"telephone_number": "850-916-8500",
"fax_number": "850-916-8509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREWS INSTITUTE ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STORY",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHAIRMAN OF BOARD OF MANAGERS",
"authorized_official_telephone_number": "850-469-2338",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.