Organization Active NPI

Regional Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • St Marys, PA
National Provider Identifier
1437148681
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
15531501 Issued in PA
Legal business name
REGIONAL AMBULATORY SURGERY CENTER, LLC
Practice address
1376 Bucktail Rd
St Marys, PA 15857-3212
Phone
(814) 781-6565
Fax
(814) 781-1985
NPI assigned
Oct 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. K.C. Joseph, M.D.
Title
President/Ceo
Phone
(814) 781-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 15531501 PA Primary

Addresses

Primary practice location

1376 Bucktail Rd
St Marys, PA 15857-3212

Mailing address

1376 Bucktail Rd
St Marys, PA 15857-3212
Phone (814) 781-6565

Other identifiers 1

IdentifierTypeStateIssuer
0018966270001MedicaidPA

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437148681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1376 BUCKTAIL RD",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158573212",
            "telephone_number": "814-781-6565",
            "fax_number": "814-781-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 BUCKTAIL RD",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158573212",
            "telephone_number": "814-781-6565",
            "fax_number": "814-781-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "K.C.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "814-781-6565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "15531501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018966270001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Marys, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.