Wesmark Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

05 15999 Issued in SC

Legal business name

WESMARK AMBULATORY SURGERY CENTER

Practice address

420 W Wesmark Blvd
Sumter, SC 29150-1983

Phone

(803) 905-5590

Fax

(803) 905-5595

NPI assigned

Jan 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Lee, MD

Title

Medical Director

Phone

(803) 905-5590

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SUMTER UROLOGICAL SURGERY Other name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Wesmark Ambulatory Surgery CenterCCN 42C0001054

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• McLeod Regional Medical Center of the Pee Dee, Inc

  • Home Health Agency
  • Florence, SC
  • NPI 1215991682

  Member Of

  NPD member
• Sumter Ear, Nose, Throat & Facial Plastic Surgery, LLC

  • Otolaryngology Physician
  • Sumter, SC
  • NPI 1285679290

  Member Of

  NPD member
• Sumter Gastroenterology

  • Gastroenterology Physician
  • Sumter, SC
  • NPI 1699071746

  Member Of

  NPD member

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124098512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501983",
            "telephone_number": "803-905-5590",
            "fax_number": "803-905-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501983",
            "telephone_number": "803-905-5590",
            "fax_number": "803-905-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESMARK AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-905-5590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "05 15999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC051",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMTER UROLOGICAL SURGERY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Allan M Weldon, M.D.
• Brittany Fickling Wellborn, PTA
• Wellmind Counseling, LLC
• Terrance Wells
• Wescott Enterprises Inc
• Wesmark Dental Health Center
• Wesmark Family Dentistry of Sumter, PC
• Wesmark Surgery Center Anesthesia
• Caryn McNaney West, OD
• Julie Ann West, PA-C

• Ambulatory Surgical Clinic/Center in Sumter, SC
• Providers in Sumter, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.