Whitewater Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WHITEWATER SURGERY CENTER LLC

Practice address

1900 Chester Blvd
Richmond, IN 47374-1213

Phone

(765) 966-1200

Fax

(765) 962-1191

NPI assigned

Aug 25, 2009

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, MDNPI 1700869179

Title

Part Owner/Ceo

Phone

(765) 962-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Whitewater Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Listed as

Whitewater Surgery Center LLCCCN 15C0001047

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

Member of 1

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

• Whitewater Eye Centers LLC

  • Ophthalmology Physician
  • Richmond, IN
  • NPI 1962635052

  Member Of

  NPD member

Practitioners 3

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

• Kevin T Scripture, MD

  • Ophthalmology Physician
  • Richmond, IN
  • NPI 1700869179
  NPD (past) Authorized official
• Bryan Christopher Hainline, M.D.

  • Ophthalmology Physician
  • Richmond, IN
  • NPI 1073711966
  NPD (past)
• Eric D Scripture, M.D.

  • Ophthalmology Physician
  • Batesville, IN
  • NPI 1013367119
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1306079330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741213",
            "telephone_number": "765-966-1200",
            "fax_number": "765-962-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741213",
            "telephone_number": "765-966-1200",
            "fax_number": "765-962-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEWATER SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "SCRIPTURE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PART OWNER/CEO",
        "authorized_official_telephone_number": "765-962-2020",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3037378",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200965120A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitewater Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tammy Whitaker, LPN
• Kahron White, RBT
• Rachel Leigh White, RD CD
• Whitewater Anesthesia Group, LLC
• Whitewater Eye Centers LLC
• Whitewater Valley Health Care Management and Marketing Inc
• Lesli Ann Whitney, MA CCCSLP
• Kevin Whitson
• Karen Wickes
• Teresa Ann Wiggans, R.N., F.N.P.

• Ambulatory Surgical Clinic/Center in Richmond, IN
• Providers in Richmond, 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 Jun 30, 2010; 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.