NPIMap

Organization Active NPI

Total Back Care Center Inc

Doing business as Total Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
National Provider Identifier
1447309018
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
950 Issued in FL
Legal business name
TOTAL BACK CARE CENTER INC
Doing business as
Total Surgery Center
Practice address
130 Tamiami TRL N
Suite 210
Naples, FL 34102-6224
Phone
(239) 434-8707
Fax
(239) 434-6343
NPI assigned
Jan 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Thomas E Parent, MDNPI 1346307964
Title
Administrator
Phone
(239) 434-8707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 950 FL Primary

Addresses

Primary practice location

130 Tamiami TRL N
Suite 210
Naples, FL 34102-6224

Mailing address

130 Tamiami TRL N
Suite 210
Naples, FL 34102-6224
Phone (239) 434-8707

Other identifiers 1

IdentifierTypeStateIssuer
65WOtherFLBLUE CROSS AND BLUE SHIEL

Other names 1

  • Total Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220207001631 FL Part B Supplier - Clinic/Group Practice 7315330776 Receives reassigned benefits from 6 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Boca Raton, FL; Tamarac, FL; Naples, FL; Bonita Springs, FL; Margate, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447309018. Details of each certification follow.

Hospital certification: CCN 100351

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TOTAL BACK CARE CENTER INC
Certification status
Terminated Voluntary: merger or closure, Oct 17, 2022
Provider type (POS)
Hospital – Short-term
Participating since
Jul 12, 2021
Last certification
Jul 12, 2021
Beds
1
Ownership / control type
Private (for profit)
Facility address
130 Tamiami TRL N, Ste 210
Naples, FL 34102

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Total Back Care Center IncCCN 10C0001247
Medicare certification status
Terminated Voluntary: merger or closure, Oct 21, 2024From the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Assistance Solution Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

130 Tamiami Trl N
Ste 210
Naples, FL 34102
Phone (239) 434-8707

5077 Tamiami Trl E
Naples, FL 34113
Phone (239) 732-1133

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447309018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 TAMIAMI TRL N",
            "address_2": "SUITE 210",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026224",
            "telephone_number": "239-434-8707",
            "fax_number": "239-434-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TAMIAMI TRL N",
            "address_2": "SUITE 210",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026224",
            "telephone_number": "239-434-8707",
            "fax_number": "239-434-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BACK CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARENT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-434-8707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "65W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.