Advanced Surgery Center of Palm Beach County, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ADVANCED SURGERY CENTER OF PALM BEACH COUNTY, LLC

Doing business as

Advanced Surgery Center

Practice address

5065 South State Rd 7
Suite 100
Lake Worth, FL 33449

Phone

(561) 662-9942

Fax

(561) 792-5528

NPI assigned

Jun 30, 2008

Last updated

Oct 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Pollak

Title

Cfo

Phone

(561) 273-2340

Specialties & licenses 1

Addresses

Other names 1

• Advanced Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Advanced Surgery Center of Palm Beach County LLCCCN 10C0001538

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jesse H. Eisenman, MD

  • Gastroenterology Physician
  • Lake Worth, FL
  • NPI 1770581720
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1194987222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 STATE ROAD 7",
            "address_2": "SUITE 101",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334494615",
            "telephone_number": "561-273-2340",
            "fax_number": "561-237-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 SOUTH STATE RD 7",
            "address_2": "SUITE 100",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33449",
            "telephone_number": "561-662-9942",
            "fax_number": "561-792-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGERY CENTER OF PALM BEACH COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "POLLAK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-273-2340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.