Surgicenter Group, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICENTER GROUP, LLC

Doing business as

Muncie Ambulatory Surgicenter

Practice address

200 N Tillotson Ave
Muncie, IN 47304-3988

Phone

(765) 286-8888

Fax

(765) 747-7962

NPI assigned

Dec 28, 2005

Last updated

Feb 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin T Scripture, M.D.NPI 1700869179

Title

Part Owner

Phone

(765) 966-1945

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Muncie Ambulatory Surgicenter Doing business as

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.

• Kevin T Scripture, MD

  • Ophthalmology Physician
  • Richmond, IN
  • NPI 1700869179
  Authorized official Same address or phone

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1235116658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 472",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473080472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-286-8888",
            "fax_number": "765-747-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICENTER GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "SCRIPTURE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "765-966-1945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2154672",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Muncie Ambulatory Surgicenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert P Suer, M.D.
• Stephanie L Sullender, PA
• Suprasad M. Rao, MD, PSC
• Sarvani Surapaneni, M.D.
• Surgicenter Group LLC
• Jack Surguy, M.A.
• Claudia B Sursa, R.N.C., N.P.
• Hubert Konosuke Suruki, M.D.
• Taylor Sutherland, RBT
• Elizabeth Sutton, RN

• Ambulatory Surgical Clinic/Center in Muncie, IN
• Providers in Muncie, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

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