Surgery Center of Volusia, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1175 Issued in FL

Legal business name

SURGERY CENTER OF VOLUSIA, LLC

Doing business as

Surgery Center of Volusia

Practice address

3635 S Clyde Morris Blvd
Suite 500
Port Orange, FL 32129-2300

Phone

(386) 760-8151

Fax

(386) 760-8185

NPI assigned

Jul 16, 2006

Last updated

Jan 10, 2023By 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

Mr. Jeffrey Snodgrass

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Surgery Center of Volusia Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Surgery Center of Volusia LLCCCN 10C0001397

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Amsurg Port Orange Anesthesia, LLC

  • Anesthesiology Physician
  • Port Orange, FL
  • NPI 1043654270

  Member Of

  NPD member

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1407873292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1A BURTON HILLS BLVD # L&C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156187",
            "telephone_number": "615-240-3820",
            "fax_number": "615-234-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 S CLYDE MORRIS BLVD",
            "address_2": "SUITE 500",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321292300",
            "telephone_number": "386-760-8151",
            "fax_number": "386-760-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF VOLUSIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00073662",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075540100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of Volusia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgery Center of Volusia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sue Levy PSYD LCSW PA
• Summerville at Port Orange, Inc. (Brookdale Yorktowne)
• Suncoast Vein & Vascular Clinic PLC
• Sunshine Physicians Inc
• Edward Supinski, MD
• Courtney Sutherland
• Meaghan E Sutter, AP, LMT
• Eyad Swaity, MD
• Jonathan Dalton Sweat, PHARMD
• Shannon Michelle Swiderski

• Ambulatory Surgical Clinic/Center in Port Orange, FL
• Providers in Port Orange, 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 Jan 10, 2023; 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.