Active NPI
Southern Hills Surgery Center LP
Doing business as Southern Hills Surgery Center
- Ambulatory Surgical Clinic/Center
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 185
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3739642 | Medicaid | TN |
Other names 1
- Southern Hills Surgery Center
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Brentwood Surgery Center
- Ambulatory Surgical Clinic/Center
- Brentwood, TN
- NPI 1104373315
Member Of
-
dba Tristar Centennial Medical Center
- Psychiatric Hospital Unit
- Nashville, TN
- NPI 1750328852
Member Of
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.
-
- Surgery Physician
- Culpeper, VA
- NPI 1871555995
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
- Southeastern Ear, Nose & Throat (Nashville Ear, Nose & Throat)
- Janet H Southerland, DDS, MPH, PHD
- Southern Charm Medical Transit
- Southern Hills Neurology Consultants LLC
- Southern Hills Orthopaedic Consultants LLC
- Southern Kidney Specialists, PLC
- Southern Optical Service
- Southern Pain Institute PLLC
- Southern Sports Medicine and Orthopaedic Center, P.C. (Southern Joint Replacement Institute)
- Southern Surgical Apmc Inc
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.