Baptist Beaches Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BAPTIST BEACHES SURGERY CENTER LLC

Doing business as

Horizon Surgery Center Beaches

Practice address

1577 Roberts Dr Ste 120
Jacksonville Beach, FL 32250-3264

Phone

(904) 709-4510

Fax

(904) 709-4509

NPI assigned

Dec 29, 2022

Last updated

Nov 13, 2024By 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

Brian Young

Title

ASC Administrator

Phone

(904) 709-4510

Specialties & licenses 1

Addresses

Other names 1

• Horizon Surgery Center Beaches Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Baptist Beaches Surgery Center LLC Dba Horizon Surgery Center BeachesCCN 10C0001742

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1336852854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1577 ROBERTS DR STE 120",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503264",
            "telephone_number": "904-709-4510",
            "fax_number": "904-709-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 ROBERTS DR STE 120",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503264",
            "telephone_number": "904-709-4510",
            "fax_number": "904-709-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST BEACHES SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ASC ADMINISTRATOR",
        "authorized_official_telephone_number": "904-709-4510"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Surgery Center Beaches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Avante Villa at Jacksonville Beach, Inc.
• Aryna Baker, PA
• Eleanor Baker, MS, RDN, LDN
• Linda Banister, DC
• Baptist Agewell Physicians Inc
• Baptist Cardiology, Inc. (Baptist Heart Specialists)
• Baptist ENT Specialists Inc
• Baptist MD Anderson Cancer Physicians Inc
• Baptist Medical Center of the Beaches, Inc
• Baptist Neurology Inc

• Ambulatory Surgical Clinic/Center in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.