Atlantic Surgical Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1015 Issued in FL

Legal business name

ATLANTIC SURGICAL CENTER, INC.

Practice address

150 SW 12TH Ave
Suite 201
Pompano Beach, FL 33069-3298

Phone

(954) 946-3603

Fax

(954) 781-2144

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John W. Beebe

Title

Ceo

Phone

(954) 946-3603

Specialties & licenses 1

Addresses

Other identifiers 3

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21251/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1215924899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SW 12TH AVE",
            "address_2": "SUITE 450",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693298",
            "telephone_number": "954-946-3603",
            "fax_number": "954-781-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW 12TH AVE",
            "address_2": "SUITE 201",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693298",
            "telephone_number": "954-946-3603",
            "fax_number": "954-781-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SURGICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "BEEBE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-946-3603",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0705969-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "169570900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "64X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlantic Chiropractic Associates, Inc.
• Atlantic Diagnostics Inc.
• Atlantic Medical Universe
• Atlantic Pediatric Partners LLC
• Atlantic Shore Retirement Residence
• Atlantic Treatment Center, LLC
• Kallie Atti, DPT
• Marsha Augustin, LMHC
• Carrie M Aull
• Patricia Jude Aurelien, D.O.

• All providers in Pompano Beach, FL
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.