St. Mary'S Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0000000111 Issued in TN

Legal business name

ST. MARY'S AMBULATORY SURGERY CENTER LLC

Practice address

1515 Saint Mary St
Knoxville, TN 37917-4556

Phone

(865) 546-5075

Fax

(865) 545-3700

NPI assigned

Nov 11, 2005

Organization subpart

Yes

Parent organization

MERCY HEALTH SYSTEM, INC.As reported in NPPES

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

Authorized official

Name

Mr. Jeffrey A Ashin

Title

President & Ceo

Phone

(865) 545-7557

Specialties & licenses 1

Addresses

Other names 1

• St. Mary's Ambulatory Surgery Center Doing business as

Member of 1

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

• Knoxville Hma Homecare DME & Hospice LLC

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1245212729

  Member Of

  NPD member

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1316928732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAINT MARY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174556",
            "telephone_number": "865-546-5075",
            "fax_number": "865-545-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SAINT MARY ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174556",
            "telephone_number": "865-546-5075",
            "fax_number": "865-545-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH SYSTEM, INC.",
        "enumeration_date": "2005-11-11",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "ASHIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "865-545-7557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Mary's Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Spurlock, DO
• Amanda B Squires, MD
• Maria Srdoc, BA PSYCHOLOGY
• Veena Guruprasad Srinath, M.S.
• Susan St. Germain
• St. Mary'S Holston Health and Rehabilitation Center, Inc.
• Emalee St. Pierre, PA-C
• Jeffrey Blair Staack, M.D.
• Allison Marie Staackmann, LMSW
• Corey Andrew Ernst Stack, MD

• Ambulatory Surgical Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.