Montgomery Surgery Center LLC.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

15231501 Issued in PA

Legal business name

MONTGOMERY SURGERY CENTER LLC.

Practice address

1000 N Broad St
Suite2
Lansdale, PA 19446-1138

Phone

(215) 412-9115

Fax

(215) 412-0488

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Thaddeus S Nowinski, MDNPI 1578561957

Title

Medical Director

Phone

(215) 412-9115

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Montgomery Surgery Center LLCCCN 39C0001118

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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thaddeus S Nowinski, MD

  • Ophthalmology Physician
  • Lansdale, PA
  • NPI 1578561957
  NPD Authorized official
• Thomas J O'Connor, MD

  • Ophthalmology Physician
  • Lansdale, PA
  • NPI 1891792347
  NPD
• Melissa Sieber, MD

  • Ophthalmology Physician
  • Lansdale, PA
  • NPI 1619389293
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1164419842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N BROAD ST",
            "address_2": "SUITE2",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461138",
            "telephone_number": "215-412-9115",
            "fax_number": "215-412-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N BROAD ST",
            "address_2": "SUITE2",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461138",
            "telephone_number": "215-412-9115",
            "fax_number": "215-412-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY SURGERY CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "NOWINSKI",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "215-412-9115",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "15231501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Marcus, PSYD, PLLC
• Derek Lynn Moltz, DC
• Erin Monacci, PA-C
• Montco Wellness
• Montgomery Adult Daily Living Center, Inc
• Andrea Mooney - Braccio
• William F Mooney III
• Kara Michelle Morath, RN
• Kristen Michelle Morby, D.P.T
• William Morey, DPT

• Ambulatory Surgical Clinic/Center in Lansdale, PA
• Providers in Lansdale, 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 Feb 28, 2008; 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.