Treasure Coast Surgical Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TREASURE COAST SURGICAL CENTER INC

Practice address

1811 S 25TH St
Fort Pierce, FL 34947-4756

Phone

(772) 467-1960

Fax

(772) 467-1970

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joseph J Katta, M.D.NPI 1508892563

Title

President

Phone

(772) 467-1960

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Treasure Coast Surgical Center IncCCN 10C0001524

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

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherine Abdalla

  • Gastroenterology Physician
  • Gainesville, FL
  • NPI 1366862997
  Medicare reassignment NPD
• Robert S Epstein, MD

  • Gastroenterology Physician
  • Wellington, FL
  • NPI 1124010624
  Medicare reassignment NPD
• Kishor Kumar Kallahalli Muniyappa, MBBS MD

  • Gastroenterology Physician
  • Tallahassee, FL
  • NPI 1467470583
  Medicare reassignment NPD
• Joseph Joseph Katta, MD

  • Gastroenterology Physician
  • Fort Pierce, FL
  • NPI 1508892563
  NPD Authorized official

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1124296173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474756",
            "telephone_number": "772-467-1960",
            "fax_number": "772-467-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474756",
            "telephone_number": "772-467-1960",
            "fax_number": "772-467-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST SURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "KATTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-467-1960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treasure Coast Neurology, Inc
• Treasure Coast Neuroscience and Wellness Center LLC
• Treasure Coast Non-Surgical Orthopedics PLLC
• Treasure Coast Prosthetics & Orthotics Services, Inc.
• Treasure Coast Senior Care LLC
• Treasure Coast Transportation Services Inc.
• Daley Trejo
• Tara N Tremblay
• Kristin Ann Trenham, APRN
• Trinity Care & Support Services,LLC

• Ambulatory Surgical Clinic/Center in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.