Organization Active NPI

The Center for Specialized Surgery, LP

  • Ambulatory Surgical Clinic/Center
  • Bethlehem, PA
National Provider Identifier
1174634778
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
THE CENTER FOR SPECIALIZED SURGERY, LP
Practice address
2851 Baglyos Cir
Suite 100
Bethlehem, PA 18020-8038
Phone
(484) 821-0550
Fax
(484) 821-0559
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Scott Macomber
Title
Cfo
Phone
(312) 664-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2851 Baglyos Cir
Suite 100
Bethlehem, PA 18020-8038

Mailing address

8164 Reliable Pkwy
Chicago, IL 60686-0001
Phone (484) 821-0550

Other identifiers 2

IdentifierTypeStateIssuer
1017725980001MedicaidPA
P00336342OtherPARAILROAD MEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061006000005 PA Part B Supplier - Ambulatory Surgical Center 4880690312 Practice locations: Bethlehem, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
The Center for Specialized Surgery LPCCN 39C0001218
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1051842Center for Specialized Surgery LP,the2851 Baglyos Circle, Bethlehem, PA 18020Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

868164 Reliable Pkwy
Chicago, IL 60686

8164 Reliable Pkwy
Chicago, IL 60686

2851 Baglyos Cir
#100
Bethlehem, PA 18020
Phone (484) 821-0550

2851 Baglyos Cir
Ste 100
Bethlehem, PA 18020
Phone (484) 821-0550

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1174634778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8164 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860001",
            "telephone_number": "484-821-0550",
            "fax_number": "484-821-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 BAGLYOS CIR",
            "address_2": "SUITE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208038",
            "telephone_number": "484-821-0550",
            "fax_number": "484-821-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR SPECIALIZED SURGERY, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "MACOMBER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "312-664-4100"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017725980001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00336342",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.