Nawada Ambulatory Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ME29078 Issued in FL

Legal business name

NAWADA AMBULATORY SURGICAL CENTER LLC

Practice address

1121 1St St S
Winter Haven, FL 33880-3902

Phone

(863) 293-2924

Fax

(863) 294-3450

NPI assigned

Nov 3, 2010

Last updated

Nov 3, 2010By 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

Dr. Channakeshava U Nawada, M.D.

Title

Owner/ Medical Director

Phone

(863) 293-2924

Specialties & licenses 1

Addresses

Other names 1

• Nawada Plastic and Cosmetic Surgery Center Other name

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1437450798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803902",
            "telephone_number": "863-293-2924",
            "fax_number": "863-294-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803902",
            "telephone_number": "863-293-2924",
            "fax_number": "863-294-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAWADA AMBULATORY SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "NAWADA",
        "authorized_official_first_name": "CHANNAKESHAVA",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER/ MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "863-293-2924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "ME29078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nawada Plastic and Cosmetic Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Akshay N Narendra, MD
• Karim Nashed, DDS
• National Vision, Inc. (America's Best Contacts & Eyeglasses)
• National Youth Advocate Program
• Navicare Provider Solutions
• Cynchera Renae Neal
• David C Neal, DDS
• John Edward Needham, M.D.
• Betsy Negron, MD
• Nelson a Warner MD PA

• Ambulatory Surgical Clinic/Center in Winter Haven, FL
• Providers in Winter Haven, 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 Nov 3, 2010; 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.