Active NPI
Atlantic Surgery Center of Jacksonville Beach
- Ambulatory Surgical Clinic/Center
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH
- Practice address
- 1361 13TH Ave S
Ste 130
Jacksonville, FL 32250-3233 - Phone
- (904) 249-2580
- Fax
- (904) 249-1380
- NPI assigned
- Dec 8, 2006
- Last updated
- Jul 1, 2008
- 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
- Mr. Scott Jeffery Trimas, MD
- Title
- Medical Director
- Phone
- (904) 249-2580
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
1361 13TH Ave S
Ste 130
Jacksonville, FL 32250-3233
Mailing address
1361 13TH Ave S
Ste 130
Jacksonville, FL 32250
Phone (904) 249-2580
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 |
|---|---|---|---|
| 10D1008025 | Atlantic Surgery Center of Jacksonville Beach | Certificate of waiver | Jan 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
1361 13th Ave S
Ste 130
Jacksonville, FL 32250
Phone (904) 249-2580
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Jacksonville, FL
- NPI 1881784841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214870400000",
"number": "1336208081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1361 13TH AVE S",
"address_2": "STE 130",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32250",
"telephone_number": "904-249-2580",
"fax_number": "904-249-1380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1361 13TH AVE S",
"address_2": "STE 130",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322503233",
"telephone_number": "904-249-2580",
"fax_number": "904-249-1380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC SURGERY CENTER OF JACKSONVILLE BEACH",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2008-07-01",
"status": "A",
"authorized_official_last_name": "TRIMAS",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "JEFFERY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "904-249-2580",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Atlantic Heart and Vascular Specialists, Inc (Cardex Clinic)
- Atlantic Speech Therapy
- Atlantic Speech Therapy
- Atlantic Spirit, LLC (Assisting Hands Home Care Serving Jacksonville Beaches)
- Atlantic Structural Energetic Therapy, Inc.
- Atlantic Visiting Practice PA
- Atlas Air Ambulance LLC
- Atlas Chiropractic & Wellness PL (Chiropractic Discovery & Wellness)
- Atlas Chiropractic Clinic Inc
- Atlas Mobile Massage Therapy, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.