Vestavia Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

443871 Issued in AL

Legal business name

VESTAVIA SURGICAL CENTER, LLC

Practice address

700 Montgomery Hwy
Suite 210
Vestavia, AL 35216-1866

Phone

(205) 823-0150

Fax

(205) 823-5218

NPI assigned

Jun 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. John R Kingsley

Title

President & Owner

Phone

(205) 823-0151

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1114367604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MONTGOMERY HWY",
            "address_2": "SUITE 210",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161866",
            "telephone_number": "205-823-0150",
            "fax_number": "205-823-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MONTGOMERY HWY",
            "address_2": "SUITE 210",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352161866",
            "telephone_number": "205-823-0150",
            "fax_number": "205-823-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTAVIA SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "205-823-0151",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": "443871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Morgan Varner, M.D.
• Jelissa Vason, MS, LBA
• Ariana Marie Vasquez
• Lashandua Michelle Vault
• Martha Caroline Veazey, LPC
• Veyep
• Ashley Jane Vines Eason
• Vocal Connections Speech Services, LLC
• Maggie Vonderau
• Frandora Vorster, CRNA

• Ambulatory Surgical Clinic/Center in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; 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.