20-20 Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

17611501 Issued in PA

Legal business name

20-20 SURGERY CENTER LLC

Practice address

516 Pellis Rd
Greensburg, PA 15601-4506

Phone

(724) 836-1177

Fax

(724) 836-4700

NPI assigned

Aug 26, 2005

Organization subpart

No

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

Authorized official

Name

Dr. H King Hartman Jr., MDNPI 1063592723

Title

Owner Medical Doctor

Phone

(724) 836-1177

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

2020 Surgery Center LLCCCN 39C0001177

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.

• H King Hartman Jr., MD

  • Ophthalmology Physician
  • Greensburg, PA
  • NPI 1063592723
  NPD (past) Authorized official
• Renee Falcon Wilson, CRNA

  • Certified Registered Nurse Anesthetist
  • Greensburg, PA
  • NPI 1942273339
  NPD
• Coby L Hartman, D.O.

  • Retina Specialist (Ophthalmology) Physician
  • Greensburg, PA
  • NPI 1073571097
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1194718940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 PELLIS RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014506",
            "telephone_number": "724-836-1177",
            "fax_number": "724-836-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 PELLIS RD",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156014506",
            "telephone_number": "724-836-1177",
            "fax_number": "724-836-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20-20 SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "KING",
        "authorized_official_title_or_position": "OWNER MEDICAL DOCTOR",
        "authorized_official_telephone_number": "724-836-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "17611501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012051400001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mark Andrew Abbott, D.C.

• Ambulatory Surgical Clinic/Center in Greensburg, PA
• Providers in Greensburg, 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 Jul 23, 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.