North Florida Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

957 Issued in FL

Legal business name

NORTH FLORIDA SURGERY CENTER INC

Practice address

256 SW Professional GLN
Suite 101
Lake City, FL 32025-1104

Phone

(386) 758-8937

Fax

(386) 755-2169

NPI assigned

Mar 7, 2007

Organization subpart

No

Name

Dr. Mohammad A. Faisal, M.D.

Title

President

Phone

(386) 758-8937

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• North Florida Surgery Center Inc

  • Anesthesiology Physician
  • Lake City, FL
  • NPI 1659535367
  Same PAC ID 5991782450

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

• Jennifer Lyn Bryan, DNP, APRN-C

  • Nurse Practitioner
  • Lake City, FL
  • NPI 1316581879
  NPD
• Sarah A Galloway, CRNA

  • Certified Registered Nurse Anesthetist
  • Gainesville, FL
  • NPI 1083991350
  NPD
• William S Jones, CRNA

  • Certified Registered Nurse Anesthetist
  • Lake City, FL
  • NPI 1457345092
  NPD
• Mary Ratliff Kedrowski, D.O.

  • Surgery Physician
  • Lake City, FL
  • NPI 1629483508
  NPD
• Brian C Rhoden, CRNA

  • Certified Registered Nurse Anesthetist
  • Gainesville, FL
  • NPI 1417237371
  NPD
• Eric James Seybolt, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, FL
  • NPI 1295894384
  NPD
• Kenneth W Martin, CRNA

  • Certified Registered Nurse Anesthetist
  • Newburgh, NY
  • NPI 1124256656
  NPD
• Karl D Bodendorfer, MD

  • Ophthalmology Physician
  • Lake City, FL
  • NPI 1205947959
  NPD (past)

• North Florida Surgery Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2008.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1467582437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 SW PROFESSIONAL GLN",
            "address_2": "SUITE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251104",
            "telephone_number": "386-758-8937",
            "fax_number": "386-755-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 SW PROFESSIONAL GLN",
            "address_2": "SUITE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320251104",
            "telephone_number": "386-758-8937",
            "fax_number": "386-755-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "FAISAL",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-758-8937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD  MEDICARE",
            "identifier": "490003028",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079210100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65S",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "235726",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• North Florida Surgery Center Inc
• North Florida/South Georgia Veteran'S Health Administration
• Christina E North
• Notami Hospitals of Florida Inc
• Notami Hospitals of Florida Inc

• All providers in Lake City, FL
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.