Pottstown Ambulatory Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

24621501 Issued in PA

Legal business name

POTTSTOWN AMBULATORY CENTER, LLC

Practice address

20 N Sunnybrook Rd
Suite 2
Pottstown, PA 19464

Phone

(484) 374-2600

Fax

(484) 752-4097

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Burhan Hameed, MDNPI 1588656219

Title

Owner

Phone

(302) 542-9542

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Pottstown Ambulatory CenterCCN 39C0001336

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 3

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.

• Kristina Anne Mauer, CRNA

  • Certified Registered Nurse Anesthetist
  • Bryn Mawr, PA
  • NPI 1548545007
  Medicare reassignment NPD
• Matthew McHugh, CRNA

  • Registered Nurse
  • Pottstown, PA
  • NPI 1316344724
  Medicare reassignment NPD
• Burhan Hameed, MD

  • Gastroenterology Physician
  • Royersford, PA
  • NPI 1588656219
  NPD (past) Authorized official

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1447600416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N SUNNYBROOK RD",
            "address_2": "SUITE 2",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194642946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N SUNNYBROOK RD",
            "address_2": "SUITE 2",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "484-374-2600",
            "fax_number": "484-752-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTTSTOWN AMBULATORY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "HAMEED",
        "authorized_official_first_name": "BURHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-542-9542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "24621501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Portela
• Michelle L Porter
• Potts Surgical Associates LLC
• James Logan Potts
• Pottsgrove School District
• Pottstown Ambulatory Center, LLC
• Pottstown Chiropractic Rehabilitation Center
• Pottstown Clinic Company LLC (Telemedicine Pottstown Tower Health Medical Group)
• Pottstown Clinic Company LLC (Emergency Medicine Pottstown Tower Health Medical Group)
• Pottstown Clinic Company, LLC

• Ambulatory Surgical Clinic/Center in Pottstown, PA
• Providers in Pottstown, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.