Hollywood Regional Opco

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HOLLYWOOD REGIONAL OPCO

Doing business as

Hollywood Regional Surgery Center

Practice address

3475 Sheridan St Ste 104
Hollywood, FL 33021-3640

Phone

(631) 495-5262

NPI assigned

Oct 4, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Feliks Kogan

Title

Managing Partner

Phone

(917) 288-4414

Specialties & licenses 1

Addresses

Other names 1

• HOLLYWOOD REGIONAL SURGERY CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Ambulatory surgical center certification: CCN 10C0001686

Legal name

HOLLYWOOD REGIONAL SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Feb 24, 2022

Last certification

Feb 24, 2022

Ownership / control type

Proprietary

Facility address

3475 Sheridan St, Ste 104
Hollywood, FL 33021

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1396460218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N ORANGE ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 SHERIDAN ST STE 104",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213640",
            "telephone_number": "631-495-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD REGIONAL OPCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "FELIKS",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "917-288-4414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLLYWOOD REGIONAL SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hollywood Psychology Center Inc.
• Hollywood PT Associates, Inc.
• Hollywood Sa Tenant Opco, LLC (Presidential Place)
• Hollywood Surgical Center LLC
• Hollywood Surgical Center, LLC
• Hollywood-Coral Springs Podiatry
• Hollywood-Coral Springs Podiatry PA

• Ambulatory Surgical Clinic/Center in Hollywood, FL
• Providers in Hollywood, 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 Oct 4, 2022; 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.
• 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.