Middleburg Ambulatory Surgery Center LLC

Primary specialty

Endoscopy Clinic/CenterTaxonomy code 261QE0800X

Legal business name

MIDDLEBURG AMBULATORY SURGERY CENTER LLC

Practice address

2631 Forest Dr
Columbia, SC 29204-2363

Phone

(803) 254-8449

Fax

(803) 254-8984

NPI assigned

Nov 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Stephen C Lloyd, M.D.

Title

Medical Director

Phone

(803) 463-6759

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1225467673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1178",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292021178",
            "telephone_number": "803-254-8449",
            "fax_number": "803-254-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042363",
            "telephone_number": "803-254-8449",
            "fax_number": "803-254-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBURG AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "LLOYD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-463-6759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip J Michels, PH.D.
• Jewel Mickens
• Latoya Denise Mickle, APRN
• Tykeyana Mickles, LPC
• Amelia Middlebrooks
• Middleburg Oral Surgery
• Middleton Counseling & Wellness
• Chaddrick L Middleton, LPC-I, CRC, CVE
• Edward Nathaniel Middleton, LPC
• Megan A Middleton, LPC

• Endoscopy Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Endoscopy Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.