Valley Access Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VALLEY ACCESS SURGERY CENTER, LLC

Practice address

2014 City Line Road
Suite 101
Bethlehem, PA 18017-2167

Phone

(610) 264-5199

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Ravindra Bollu, M.D.

Title

M.D.

Phone

(610) 264-5199

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1134714918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 CITY LINE ROAD",
            "address_2": "SUITE 101",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172167",
            "telephone_number": "610-264-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 CITY LINE ROAD",
            "address_2": "SUITE 101",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180172167",
            "telephone_number": "610-264-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ACCESS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "BOLLU",
        "authorized_official_first_name": "RAVINDRA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "610-264-5199",
        "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": []
}

• Josefina Andrea Valdivieso, PA-C
• Chandini Valeeswaran, MD
• Lizbeth Valencia-Lucero
• Gilda Zety Valencia, APN, FNP
• Angele Valerio, CRNP
• Valley Advanced Imaging, LLC
• Valley Ambulatory Surgical Center (vasc/crna)
• Valley Ambulatory Surgical Center
• Valley Counseling Group LLC
• Valley Counseling Group, LLC

• Ambulatory Surgical Clinic/Center in Bethlehem, PA
• Providers in Bethlehem, 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 Mar 4, 2021; 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.