Pasadena Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1268 Issued in FL

Legal business name

PASADENA SURGERY CENTER LLC

Doing business as

Pasadena Surgery Center

Practice address

6945 First Ave So
St Petersburg, FL 33707-1210

Phone

(727) 302-9200

Fax

(727) 302-9227

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Earl Hall, M.D.

Title

President

Phone

(727) 302-9200

Specialties & licenses 1

Addresses

Other names 1

• Pasadena Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Pasadena Surgery Center LLCCCN 10C0001492

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John B Wachter Jr., OD

  • Optometrist
  • Pinellas Park, FL
  • NPI 1770551129
  NPD
• Nathan Richard Emery, M.D.

  • Ophthalmology Physician
  • St Petersburg, FL
  • NPI 1518959048
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144382284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 FIRST AVENUE SOUTH",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071210",
            "telephone_number": "727-302-9200",
            "fax_number": "727-302-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 FIRST AVE SO",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071210",
            "telephone_number": "727-302-9200",
            "fax_number": "727-302-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-302-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pasadena Eye Center, LLC
• Pasadena Eye Center, LLC
• Pasadena Family Chiropractic Center Inc.
• Pasadena Family Medical Associates
• Pasadena Radiology Associates PA
• Shastine Pascal, LPN
• Rebecca Pascarella
• David Thomas Pascia
• James T. Pascia, D.D.S.
• Faraz Pasha, M.D.

• Ambulatory Surgical Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, 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 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.