Childrens Surgery Center of Malvern, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CHILDRENS SURGERY CENTER OF MALVERN, LLC

Practice address

596 Lancaster Ave
Suite 300
Malvern, PA 19355-1808

Phone

(610) 518-4937

Fax

(610) 514-9536

NPI assigned

Dec 30, 2011

Organization subpart

Yes

Parent organization

CHILDRENS SURGERY CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Gina Marie Espenschied, RN, BSN, CNOR

Title

Chief Administrative Officer

Phone

(610) 518-4937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Ambulatory surgical center certification: CCN 39C0001296

Legal name

CHILDRENS SURGERY CENTER OF MALVERN, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 11, 2012

Last certification

Feb 14, 2019

Ownership / control type

Proprietary

Facility address

596 Lancaster Avenue, Suite 300
Malvern, PA 19355

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

CLIA laboratory certificates

Part of

Childrens Surgery Center LLC

Member of 1

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

• Childrens Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1619284536

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Childrens Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1619284536
  NPPES parent name

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1134499684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 WATERWAY RD",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193632417",
            "telephone_number": "610-518-4937",
            "fax_number": "610-514-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 LANCASTER AVE",
            "address_2": "SUITE 300",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551808",
            "telephone_number": "610-518-4937",
            "fax_number": "610-514-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS SURGERY CENTER OF MALVERN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDRENS SURGERY CENTER, LLC",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "ESPENSCHIED",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "610-518-4937",
        "authorized_official_credential": "RN, BSN, CNOR"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karen Clark-Schock, PSYD

• Ambulatory Surgical Clinic/Center in Malvern, PA
• Providers in Malvern, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.