State Hill Surgicenter LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

STATE HILL SURGICENTER LLC

Practice address

2630 Westview Dr
Wyomissing, PA 19610

Phone

(610) 376-1981

Fax

(610) 376-3153

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Moiz M Carim, MDNPI 1720083330

Title

Medical Director

Phone

(610) 376-1981

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

State Hill SurgicenterCCN 39C0001264

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moiz M. Carim, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Wyomissing, PA
  • NPI 1720083330
  NPD Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1225050347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 WESTVIEW DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 WESTVIEW DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "19610",
            "telephone_number": "610-376-1981",
            "fax_number": "610-376-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE HILL SURGICENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "CARIM",
        "authorized_official_first_name": "MOIZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-376-1981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kelly Sporre, CRNP
• Roger A Stafford, ATC
• Erika Marie Stamm, LSW
• Stanford S. Feinberg, MD, PC
• Jeffrey Stange, RPH
• STC Pediatrics LLC
• STC Pediatrics LLC
• STC Pediatrics LLC
• Jeff Stephen Stefanick, OD
• David F Steffy, M.D.

• Ambulatory Surgical Clinic/Center in Wyomissing, PA
• Providers in Wyomissing, 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 Oct 21, 2022; 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.