Kerrville Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008616 Issued in TX

Legal business name

KERRVILLE AMBULATORY SURGERY CENTER, LLC

Practice address

1001 Water St
Unit C
Kerrville, TX 78028-3523

Phone

(830) 896-2444

Fax

(830) 896-2447

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Rhonda Cravey

Title

Administrator

Phone

(830) 257-4417

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Kerrville Ambulatory Surgery Center LLCCCN 45C0001475

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1154526044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294868",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780294868",
            "telephone_number": "830-896-2444",
            "fax_number": "830-896-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WATER ST",
            "address_2": "UNIT C",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780283523",
            "telephone_number": "830-896-2444",
            "fax_number": "830-896-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRVILLE AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "CRAVEY",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-257-4417"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197547601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H0HH171A01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydnee Danielle Kern, APRN-FNP-C
• Kerr County Chiropractic
• Kerr County OB/GYN Associates, P.a.
• Kerr County Sub-Specialists, PA
• Kerrville Allergy and Asthma Associates, P.a.
• Kerrville Cancer Center LTD
• Kerrville Cancer Center PLLC
• Kerrville Cardiovascular Center
• Kerrville Drug Co., Inc
• Kerrville Drug Co., Inc

• Ambulatory Surgical Clinic/Center in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.