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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 03001
- 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, 2011
- 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
- Mr. Scott Macomber
- Title
- Evp of the Manager
- Phone
- (312) 664-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Ophthalmology Physician
- River Forest, IL
- NPI 1154340941
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.