Lovejoy Surgicenter Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

07-0978 Issued in OR

Legal business name

LOVEJOY SURGICENTER INC

Practice address

933 NW 25TH Ave
Portland, OR 97210-2829

Phone

(503) 221-1870

Fax

(503) 221-1488

NPI assigned

Oct 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Greg Klass, CEO

Title

Director

Phone

(971) 340-2995

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lovejoy Surgicenter Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lovejoy Surgicenter Inc

  • Ambulatory Family Planning Facility
  • Portland, OR
  • NPI 1679902720
  NPD tax ID

Locations

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1356779623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 NW 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102829",
            "telephone_number": "503-221-1870",
            "fax_number": "503-221-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 NW 25TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102829",
            "telephone_number": "503-221-1870",
            "fax_number": "503-221-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVEJOY SURGICENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "KLASS",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "971-340-2995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "07-0978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187153",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Nicole Love
• Rochelle Love
• Timothy Love Jr., BSN
• Sandra Elaine Lovegrove
• Lovejoy Opticians Inc.
• Lovejoy Surgicenter Inc
• Lovejoy Surgicenter Inc.
• Lovejoy Therapy LLC
• Earl Lovejoy, MS. CCC/SLP
• Gary Harold Lovejoy, PH.D.

• Durable Medical Equipment & Medical Supplies in Portland, OR
• Providers in Portland, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.