Indian River Surgical Service Corp.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

INDIAN RIVER SURGICAL SERVICE CORP.

Practice address

1355 20TH Ave
Vero Beach, FL 32960-3784

Phone

(772) 480-1122

NPI assigned

May 4, 2006

Organization subpart

No

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

Authorized official

Name

John Alfred Lambert, PA-CNPI 1669464053

Title

President

Phone

(772) 480-1122

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John A Lambert, PA-C

  • Surgical Physician Assistant
  • Vero Beach, FL
  • NPI 1669464053
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1467400291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 20TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603784",
            "telephone_number": "772-480-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 20TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603784",
            "telephone_number": "772-480-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN RIVER SURGICAL SERVICE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-480-1122",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE7995",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "X1623",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Indian River Rehabilitation Medicine Clinic P a
• Indian River Spine & Joint PLLC
• Indian River Surgery Center LTD
• Indian River Surgery Center, LTD.
• Indian River Surgical Associates, LLC
• Indian River Urology Associates PA
• Individualized Support Services LLC
• Infusion Services of the Treasure Coast Inc
• Katherine Ingerto, DPT
• Corey Deangelo Ingram

• Surgical Physician Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.