Paulsen Street Sugery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PAULSEN STREET SUGERY CENTER LLC

Practice address

4425 Paulsen St
FL 2
Savannah, GA 31405-3662

Phone

(912) 350-2802

NPI assigned

May 29, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Larry Taylor

Title

Manager

Phone

(205) 824-6250

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1417217183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535734",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303535510",
            "telephone_number": "912-350-2802",
            "fax_number": "912-350-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "address_2": "FL 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-350-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULSEN STREET SUGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-824-6250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Patterson, CRNA
• Analicia Elaina Patterson, NP
• Ashley Patterson
• Christian Rosario Patti, DMD
• Paulsen OB GYN
• Pavan Putra Pharmacy Inc
• Amy J Payne, LCSW
• Peachtree Medical Equipment
• Stephen Wallace Peacock
• Carl Pearl, M.D.

• Ambulatory Surgical Clinic/Center in Savannah, GA
• Providers in Savannah, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.