Surgicenter Services of Pitt Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

AS0012 Issued in NC

Legal business name

SURGICENTER SERVICES OF PITT INC.

Practice address

102 Bethesda Dr
Greenville, NC 27834-7201

Phone

(252) 847-7700

NPI assigned

Nov 15, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Tripp

Title

President

Phone

(252) 847-7700

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1124000260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342818",
            "telephone_number": "252-847-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BETHESDA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347201",
            "telephone_number": "252-847-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICENTER SERVICES OF PITT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "TRIPP",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-847-7700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "AS0012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00637",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409860",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kajuan Supel, M.A, BCBA, LBA
• Supports Plus LLC
• Tyler Surdi, PHARMD
• Sure Foundation Behavioral Health Services, LLC
• Surgicenter of Eastern Carolina LLC
• Lee A. Surkin, M.D.
• Lara Kester Surles, MD
• Jennifer A. Sutter, MD
• Ann Thomas Sutton, M.D.
• Apriann Marchelle Sutton, LCSWA

• Ambulatory Surgical Clinic/Center in Greenville, NC
• Providers in Greenville, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.