Active NPI
Fredericksburg Ambulatory Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Fredericksburg, VA
National Provider Identifier
1326097981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- OH656
- Legal business name
- FREDERICKSBURG AMBULATORY SURGERY CENTER, LLC
- Practice address
- 1201 Sam Perry Blvd
Suite 101
Fredericksburg, VA 22401-4490 - Phone
- (540) 741-7000
- Fax
- (540) 899-6893
- NPI assigned
- May 9, 2006
- Last updated
- Feb 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher D Newman
- Title
- Ceo
- Phone
- (540) 741-3248
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | OH656 | VA | Primary |
Addresses
Primary practice location
1201 Sam Perry Blvd
Suite 101
Fredericksburg, VA 22401-4490
Mailing address
1340 Central Park Blvd Ste 207
Fredericksburg, VA 22401-4941
Phone (540) 741-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 442405 | Other | VA | ANTHEM BCBS |
| 0700914 | Other | VA | CIGNA |
| 010055156 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040908001194 | VA | Part B Supplier - Ambulatory Surgical Center | 2365418589 | Practice locations: Fredericksburg, VA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Fredericksburg Ambulatory Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0964574 | Fredericksburg Ambulatory Surgery Center | Certificate of waiver | Aug 26, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Mary Washington Hospice
- Community Based Hospice Care Agency
- Fredericksburg, VA
- NPI 1891017141
Member Of
Locations
1201 Sam Perry Blvd
#C
Fredericksburg, VA 22401
1201 Sam Perry Blvd
Ste 101
Fredericksburg, VA 22401
Phone (540) 741-4614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770076800000",
"number": "1326097981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 CENTRAL PARK BLVD STE 207",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014941",
"telephone_number": "540-741-7000",
"fax_number": "540-899-6893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 SAM PERRY BLVD",
"address_2": "SUITE 101",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014490",
"telephone_number": "540-741-7000",
"fax_number": "540-899-6893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREDERICKSBURG AMBULATORY SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-09",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "540-741-3248"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "VA",
"license": "OH656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "442405",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0700914",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010055156",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
- Jeffrey Frazier, M.D.
- Morgan Frazier
- Aaron Joseph Frederick, MD
- Amy Leah Frederick, MIDWIFE
- Fredericksburg
- Fredericksburg Anesthesia Services, LLC
- Fredericksburg Area Health and Support Services
- Fredericksburg Area Health and Support Services (Mosaic Care Center)
- Fredericksburg Area Health and Support Services (Mosaic Care Center)
- Fredericksburg Area Regional Health Council (Lloyd F Moss Free Clinic Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.