Chatham Orthopaedic ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CHATHAM ORTHOPAEDIC ASC, LLC

Doing business as

Chatham Orthopaedic Surgery Center

Practice address

4425 Paulsen St BLDG B2ND
Savannah, GA 31405-3662

Phone

(912) 777-3060

NPI assigned

Feb 22, 2018

Last updated

Jul 16, 2019By 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

Mr. Brandon O'Dell

Title

Chief Administrative Officer

Phone

(912) 355-6615

Specialties & licenses 1

Addresses

Other names 1

• Chatham Orthopaedic Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Chatham Orthopaedic Surgery ASC LLCCCN 11C0001496

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.

• Chatham Orthopaedic Associates, PA

  • Orthopaedic Surgery Physician
  • Springfield, GA
  • NPI 1982626636

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1326549676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST BLDG B2ND",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-777-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST BLDG B2ND",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-777-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM ORTHOPAEDIC ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "O'DELL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "912-355-6615",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chatham Orthopaedic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chatham Hospitalists -- SJ, LLC
• Chatham Hosptialists, LLC
• Chatham OB GYN
• Chatham Oral Surgery, PC
• Chatham Orthopaedic and Associates
• Chatham Orthopaedic Associates, P.a.
• Chatham Orthopaedic Associates, PA
• Chatham Orthopaedic Associates, PA
• Chatham Orthopaedic Associates, PA (Chatham Sports Medicine)
• Chatham Orthopaedic Associates, PA

• Ambulatory Surgical Clinic/Center in Savannah, GA
• Providers in Savannah, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.