Pioneer Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

9700308 Issued in NC

Legal business name

PIONEER AMBULATORY SURGERY CENTER, LLC

Practice address

2905 Crouse LN
Burlington, NC 27215-8833

Phone

(336) 585-2545

Fax

(336) 585-2546

NPI assigned

Dec 26, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Shaukat A Khan, MDNPI 1477549871

Title

MD

Phone

(336) 538-2494

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Listed as

Pioneer Ambulatory Surgery Center LLCCCN 34C0001173

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 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaukat Ali Khan, MD

  • Cardiovascular Disease Physician
  • Burlington, NC
  • NPI 1477549871
  NPD Authorized official
• Neelam Salahuddin Khan, MD

  • Internal Medicine Physician
  • Burlington, NC
  • NPI 1740276146
  NPD
• Amber Leigh Scoggins, APRN, FNP-C

  • Family Nurse Practitioner
  • Burlington, NC
  • NPI 1851057111
  NPD
• Amanda Marie Shirley, FNP

  • Family Nurse Practitioner
  • Burlington, NC
  • NPI 1689235806
  NPD
• Sheikh Ahmed Tejan-Sie, MD

  • Internal Medicine Physician
  • Burlington, NC
  • NPI 1346237617
  NPD

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

{
    "created_epoch": "1230249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1376789248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 CROUSE LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158833",
            "telephone_number": "336-585-2545",
            "fax_number": "336-585-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 CROUSE LN",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158833",
            "telephone_number": "336-585-2545",
            "fax_number": "336-585-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-26",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAUKAT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "336-538-2494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NC",
            "license": "9700308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piedont Health Services
• Kristina L Pierce
• Pinnacle Family Services of North Carolina LLC
• Pinnacle Urgent Care PLLC
• Larosa Pinnix-Bailey, DDS
• Joseph King Piscitello, MD
• Jose Luis Piscoya, MD
• Pleasant Grove Retirement Home
• John Jeffrey Poggi, M.D.
• Poole Glowbal LLC

• Ambulatory Surgical Clinic/Center in Burlington, NC
• Providers in Burlington, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.