Organization Active NPI

Southern Hills Surgery Center LP

Doing business as Southern Hills Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Nashville, TN
National Provider Identifier
1215990247
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
185 Issued in TN
Legal business name
SOUTHERN HILLS SURGERY CENTER LP
Doing business as
Southern Hills Surgery Center
Practice address
360 Wallace Rd
Nashville, TN 37211-4883
Phone
(615) 332-3030
Fax
(615) 332-3029
NPI assigned
Apr 10, 2006
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Don Liedtke
Title
Vice President
Phone
(615) 344-5507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 185 TN Primary

Addresses

Primary practice location

360 Wallace Rd
Nashville, TN 37211-4883

Mailing address

360 Wallace Rd
Nashville, TN 37211-4883
Phone (615) 332-3030

Other identifiers 1

IdentifierTypeStateIssuer
3739642MedicaidTN

Other names 1

  • Southern Hills Surgery Center Doing business as

National Provider Directory

National Provider Directory

Member of 2

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

Locations

360 Wallace Rd
Nashville, TN 37211
Phone (615) 332-3030

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1215990247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WALLACE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114883",
            "telephone_number": "615-332-3030",
            "fax_number": "615-332-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 WALLACE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114883",
            "telephone_number": "615-332-3030",
            "fax_number": "615-332-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN HILLS SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "LIEDTKE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-344-5507"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3739642",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Hills Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.