Cedar Crest Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CEDAR CREST SURGERY CENTER LLC

Practice address

1146 S Cedar Crest Blvd
Allentown, PA 18103-7938

Phone

(610) 366-9000

Fax

(610) 366-9229

NPI assigned

Dec 27, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Heather Youse

Title

Billing Manager

Phone

(610) 366-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Ambulatory surgical center certification: CCN 39C0001383

Legal name

Cedar Crest Surgery Center, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 3, 2023

Last certification

Aug 3, 2023

Facility address

1146 South Cedar Crest Blvd Suite 100
Allentown, PA 18103

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.

• Yasin Khan, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Allentown, PA
  • NPI 1952398604
  NPD
• Dong Ko, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Allentown, PA
  • NPI 1629066329
  NPD (past)

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1144980541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037938",
            "telephone_number": "610-366-9000",
            "fax_number": "610-366-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037938",
            "telephone_number": "610-366-9000",
            "fax_number": "610-366-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREST SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "YOUSE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "610-366-9000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Crest Incorporated
• Cedar Crest Operator LLC
• Cedar Crest Pediatrics
• Cedar Crest Physical Therapy
• Cedar Crest Psychological Counseling, P.C.
• Cedar Crest Vision Care, PC
• Dinamarca Cedeno
• David A Cederberg, PA
• Robert Cefola, CRNP
• Robert Allen Celani III

• Ambulatory Surgical Clinic/Center in Allentown, PA
• Providers in Allentown, 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 27, 2021; 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.