Bearwood Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASF-021 Issued in SC

Legal business name

BEARWOOD AMBULATORY SURGERY CENTER

Practice address

3031 N Highway 81
Anderson, SC 29621-3621

Phone

(864) 226-7371

Fax

(864) 226-8367

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy D. Gibson, NURSE ADMINISTRATOR

Title

Nurse Administrator

Phone

(864) 226-7371

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1396741542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213621",
            "telephone_number": "864-226-7371",
            "fax_number": "864-226-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 N HIGHWAY 81",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213621",
            "telephone_number": "864-226-7371",
            "fax_number": "864-226-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEARWOOD AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "NURSE ADMINISTRATOR",
        "authorized_official_telephone_number": "864-226-7371",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NURSE ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "ASF-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410184",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ferguson Baxter, FNP-C
• Lucy Yolanda Beach
• Meghan Beal
• Adam Harrison Beall, M.D.
• Julie Beard
• Bearwood Plastic Surgery, LLC
• Lucila Beaton, LMSW
• Stephanie Shannon Beattie
• James David Beaty
• Vivian Orlynne Beauchamp, P.T.

• Ambulatory Surgical Clinic/Center in Anderson, SC
• Providers in Anderson, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.