Organization Active NPI

Capital City Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1184680225
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
PENDING Issued in FL
Legal business name
CAPITAL CITY SURGICAL CENTER LLC
Practice address
2807 Capital Medical Blvd Ste 2
Tallahassee, FL 32308-8420
Phone
(850) 933-1885
Fax
(850) 309-7422
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Betty Leichus
Title
Administrator
Phone
(850) 933-1885

Specialties & licenses 1

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

Addresses

Primary practice location

2807 Capital Medical Blvd Ste 2
Tallahassee, FL 32308-8420

Mailing address

2807-2 Capital Medical Blvd
Tallahassee, FL 32308-4405
Phone (850) 933-1885

Other names 1

  • Capital City Surgical Center LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1184680225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807-2 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084405",
            "telephone_number": "850-933-1885",
            "fax_number": "850-309-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 CAPITAL MEDICAL BLVD STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088420",
            "telephone_number": "850-933-1885",
            "fax_number": "850-309-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CITY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "LEICHUS",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-933-1885"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital City Surgical Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.