Quality Surgicenter LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

QUALITY SURGICENTER LLC

Practice address

2745 Lincolnway
Clinton, IA 52732-7201

Phone

(563) 242-3208

Fax

(563) 242-4051

NPI assigned

Jan 19, 2006

Last updated

Nov 1, 2007By 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

Dr. Ahmed Elahmady, MDNPI 1265412803

Title

Medical Director

Phone

(563) 242-3208

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Listed as

Quality Care Clinic and SurgicenterCCN 16C0001012

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

Locations

Practitioners 13

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.

• Ahmed Elahmady, MD

  • Gastroenterology Physician
  • Clinton, IA
  • NPI 1265412803
  NPD Authorized official
• Michael Arntsen, PA-C

  • Physician Assistant
  • Iowa City, IA
  • NPI 1578046223
  NPD (past)
• David Brennan, D.O.

  • Family Medicine Physician
  • Clinton, IA
  • NPI 1306887906
  NPD (past)
• Ahmed Fathala, MD

  • Internal Medicine Physician
  • Clinton, IA
  • NPI 1184604696
  NPD (past)
• Ricky Maddox, MD

  • Surgery Physician
  • Clinton, IA
  • NPI 1982675542
  NPD (past)
• Kenneth J Bentson, P.A.

  • Physician Assistant
  • North Mankato, MN
  • NPI 1710961156
  NPD (past)
• Douglas Thane Romney Cody II, MD

  • Otolaryngology Physician
  • West Plains, MO
  • NPI 1558328377
  NPD (past)
• Abdullah Foad, MD

  • Orthopaedic Surgery Physician
  • Morrison, IL
  • NPI 1619957180
  NPD (past)
• Robert Nolan Hetz, MD

  • Obstetrics & Gynecology Physician
  • Manitowoc, WI
  • NPI 1558346866
  NPD (past)
• Julianne Scheskie, P.A.-C.

  • Physician Assistant
  • Silver City, NM
  • NPI 1346357464
  NPD (past)
• Yasser Shaheen, MD

  • Interventional Pain Medicine Physician
  • Cheshire, CT
  • NPI 1881674398
  NPD (past)
• Ronald A. Vidal, M.D.

  • Otolaryngology Physician
  • Quincy, IL
  • NPI 1144244377
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1386624815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "CAMANCHE",
            "state": "IA",
            "postal_code": "527300106",
            "telephone_number": "563-242-3208",
            "fax_number": "563-242-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 LINCOLNWAY",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527327201",
            "telephone_number": "563-242-3208",
            "fax_number": "563-242-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY SURGICENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "ELAHMADY",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "563-242-3208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0610121",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "61012",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Providence Therapy Services LLC
• Shanda Hilary Ptacek, PHARMD
• Amber Pulido, IADC
• Lindsay Puls
• Quality Care Clinic
• Ahmed Khaleel Quasem, M.D.
• Quest Diagnostics LLC Il
• Rebeccah Quintana
• John Paul Ramser
• Randy R Robinson PC

• Ambulatory Surgical Clinic/Center in Clinton, IA
• Providers in Clinton, IA by specialty
• Ambulatory Surgical Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.