Southern Tier Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTHERN TIER SURGERY CENTER LLC

Doing business as

Guthrie Broome Orthopedic and Spine Surgery Center

Practice address

400 W Commons Way Ste 100
Johnson City, NY 13790-1883

Phone

(607) 314-5050

Fax

(607) 314-5051

NPI assigned

Jul 16, 2025

Organization subpart

Yes

Parent organization

NEW YORK HOLDCOAs reported in NPPES

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

Authorized official

Name

Kenneth L Rosenquest

Title

Chief Operations Officer

Phone

(860) 833-2375

Specialties & licenses 1

Addresses

Other names 1

• Guthrie Broome Orthopedic and Spine Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Ambulatory surgical center certification: CCN 33C0001231

Legal name

Guthrie Broome Orthopedic and Spine Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 27, 2026

Last certification

May 27, 2026

Facility address

400 West Commons Way, STE 100
Johnson City, NY 13790

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Our Lady of Lourdes Memorial Hospital, Inc.

  • Community/Retail Pharmacy
  • Vestal, NY
  • NPI 1063824852

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1386536209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W COMMONS WAY STE 100",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901883",
            "telephone_number": "607-314-5050",
            "fax_number": "607-314-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W COMMONS WAY STE 100",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137901883",
            "telephone_number": "607-314-5050",
            "fax_number": "607-314-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK HOLDCO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "ROSENQUEST",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "860-833-2375"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guthrie Broome Orthopedic and Spine Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern Tier Chiropractic PLLC
• Southern Tier Family Nurse Practitioner Services
• Southern Tier Physical Therapy of Johnson City
• Southern Tier Pulmonary & Critical Care Medicine LLC
• Southern Tier Special Needs Resources LLC
• Southern Tier Surgical PLLC
• Joshua Sowle, NP
• Jennifer Spalik
• Kara Spalik, N.P.
• Mark Paul Speicher, DO

• Ambulatory Surgical Clinic/Center in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.