Organization Active NPI

Novamed Surgery Center of Bedford, LLC

Doing business as N.H. Eye Surgicenter

  • Ambulatory Surgical Clinic/Center
  • Bedford, NH
National Provider Identifier
1114920691
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
03001 Issued in NH
Legal business name
NOVAMED SURGERY CENTER OF BEDFORD, LLC
Doing business as
N.H. Eye Surgicenter
Practice address
105 Riverway Place, Bedford Commons
Building #1
Bedford, NH 03110
Phone
(603) 627-9540
Fax
(603) 668-7952
NPI assigned
May 27, 2005
Last updated
Aug 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Mr. Scott Macomber
Title
Evp of the Manager
Phone
(312) 664-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 03001 NH Primary

Addresses

Primary practice location

105 Riverway Place, Bedford Commons
Building #1
Bedford, NH 03110

Mailing address

19 Riverway Place
Bedford, NH 03110
Phone (603) 627-9540

Other names 1

  • N.H. Eye Surgicenter Doing business as

National Provider Directory

National Provider Directory

Locations

7590 Reliable Pkwy
Chicago, IL 60686

105 Riverway Pl
Bldg 1
Bedford, NH 03110
Phone (603) 627-9540

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1114920691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 RIVERWAY PLACE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-627-9540",
            "fax_number": "603-668-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 RIVERWAY PLACE, BEDFORD COMMONS",
            "address_2": "BUILDING #1",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-627-9540",
            "fax_number": "603-668-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVAMED SURGERY CENTER OF BEDFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "MACOMBER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EVP OF THE MANAGER",
        "authorized_official_telephone_number": "312-664-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NH",
            "license": "03001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N.H. Eye Surgicenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.