Organization Active NPI

Collier Surgery Center,LLP

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
National Provider Identifier
1114905866
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
973 Issued in FL
Legal business name
COLLIER SURGERY CENTER,LLP
Practice address
800 Goodlette Rd N
Suite #120
Naples, FL 34102-5400
Phone
(239) 262-5757
Fax
(239) 262-6073
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Wayne Douglas, ADMINISTRATOR
Title
Administrator
Phone
(239) 262-5757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 973 FL Primary

Addresses

Primary practice location

800 Goodlette Rd N
Suite #120
Naples, FL 34102-5400

Mailing address

800 Goodlette Rd N
Suite #120
Naples, FL 34102-5400
Phone (239) 262-5757

Other identifiers 1

IdentifierTypeStateIssuer
61SOtherFLBCBS OF FLORIDA

National Provider Directory

National Provider Directory

Locations

800 Goodlette Rd
Ste 120
Naples, FL 34102
Phone (239) 262-5757

Practitioners & affiliated clinicians

Practitioners 1

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": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114905866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GOODLETTE RD N",
            "address_2": "SUITE #120",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025400",
            "telephone_number": "239-262-5757",
            "fax_number": "239-262-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GOODLETTE RD N",
            "address_2": "SUITE #120",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025400",
            "telephone_number": "239-262-5757",
            "fax_number": "239-262-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER SURGERY CENTER,LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-262-5757",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "61S",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.