Organization Active NPI

Center for Special Surgery

  • Ambulatory Surgical Clinic/Center
  • Greenville, SC
National Provider Identifier
1174500904
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ASF-0067 Issued in SC
Legal business name
CENTER FOR SPECIAL SURGERY
Practice address
209 Patewood Drive
Suite 300
Greenville, SC 29615-3581
Phone
(864) 527-7700
Fax
(864) 527-7701
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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

Authorized official

Name
Mrs. Ashley Brown
Title
Administrator
Phone
(864) 527-7700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ASF067DHEC SC
Ambulatory Surgical Clinic/Center 261QA1903X ASF-0067 SC Primary

Addresses

Primary practice location

209 Patewood Drive
Suite 300
Greenville, SC 29615-3581

Mailing address

209 Patewood Drive
Suite 300
Greenville, SC 29615-3581
Phone (864) 527-7700

Other identifiers 1

IdentifierTypeStateIssuer
ASC041MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1174500904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PATEWOOD DRIVE",
            "address_2": "SUITE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153581",
            "telephone_number": "864-527-7700",
            "fax_number": "864-527-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PATEWOOD DRIVE",
            "address_2": "SUITE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153581",
            "telephone_number": "864-527-7700",
            "fax_number": "864-527-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SPECIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "864-527-7700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "ASF067DHEC",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "ASF-0067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC041",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.