Organization Active NPI

Nasa Surgery Center of Naples LLC

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
National Provider Identifier
1265289920
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
NASA SURGERY CENTER OF NAPLES LLC
Practice address
6770 Immokalee Road
Naples, FL 34119
Phone
(239) 449-7900
NPI assigned
May 1, 2024
Last updated
May 1, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Authorized official

Name
Dr. Michael J Vickers, MD
Title
Medical Director
Phone
(239) 449-7900

Specialties & licenses 1

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

Addresses

Primary practice location

6770 Immokalee Road
Naples, FL 34119

Mailing address

6770 Immokalee Road
Naples, FL 34119
Phone (239) 449-7900

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2336437Nasa Surgery Center of Naples, LLC6770 Immokalee Rd Suite 101, Naples, FL 34119Certificate of waiverJan 4, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Locations

6770 Immokalee Rd
Naples, FL 34119
Phone (239) 449-7900

NPI Registry JSON

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714521600000",
    "number": "1265289920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 IMMOKALEE ROAD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "239-449-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 IMMOKALEE ROAD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "34119",
            "telephone_number": "239-449-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASA SURGERY CENTER OF NAPLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-01",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "VICKERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "239-449-7900",
        "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": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.