The Surgical Suites LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

FSOF-5 Issued in HI

Legal business name

THE SURGICAL SUITES LLC

Practice address

1100 Ward Ave
Ste 1001
Honolulu, HI 96814-1617

Phone

(808) 531-0127

Fax

(808) 531-0455

NPI assigned

May 27, 2005

Last updated

Aug 22, 2020By 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

Carlos Anthony Omphroy, M.D.NPI 1437165396

Title

President

Phone

(808) 625-5577

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Faulkner Institute for Eye Care & Surgery Former legal business name

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Listed as

The Surgical Suites LLCCCN 12C0001004

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos A. Omphroy, M. D.

  • Ophthalmology Physician
  • Mililani, HI
  • NPI 1437165396
  Authorized official Same address or phone
• Alan R Faulkner, M.D.

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1043312887
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336142884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 WARD AVE",
            "address_2": "STE 1001",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141617",
            "telephone_number": "808-531-0127",
            "fax_number": "808-531-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WARD AVE",
            "address_2": "STE 1001",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141617",
            "telephone_number": "808-531-0127",
            "fax_number": "808-531-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SURGICAL SUITES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OMPHROY",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-625-5577",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "HI",
            "license": "FSOF-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088307-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "022176-2",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "5516",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faulkner Institute for Eye Care & Surgery",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ambulatory Surgical Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Ambulatory Surgical Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.