Organization Active NPI

Capital Surgery and Laser Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Harrisburg, PA
National Provider Identifier
1467721332
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CAPITAL SURGERY AND LASER CENTER, LLC
Practice address
10 Capital Dr
Harrisburg, PA 17110-9446
Phone
(717) 547-3850
Fax
(717) 545-1196
NPI assigned
Dec 22, 2011
Last updated
Jan 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Brett Ernst, MDNPI 1346261765
Title
Owner
Phone
(717) 233-3937

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 NU Primary

Addresses

Primary practice location

10 Capital Dr
Harrisburg, PA 17110-9446

Mailing address

10 Capital Dr
Harrisburg, PA 17110-9446
Phone (717) 547-3850

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120314000226 PA Part B Supplier - Ambulatory Surgical Center 3971762725 Practice locations: Harrisburg, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Capital Surgery and Laser CenterCCN 39C0001305
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2048762Capital Surgery and Laser Center10 Capital Drive Suite 200, Harrisburg, PA 17110Certificate of waiverOct 22, 2026

National Provider Directory

National Provider Directory

Locations

10 Capital Dr
Harrisburg, PA 17110
Phone (717) 547-3850

10 Capital Dr
Ste 200
Harrisburg, PA 17110
Phone (717) 547-3848

Practitioners & affiliated clinicians

Practitioners 2

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": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1467721332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CAPITAL DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109446",
            "telephone_number": "717-547-3850",
            "fax_number": "717-545-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CAPITAL DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171109446",
            "telephone_number": "717-547-3850",
            "fax_number": "717-545-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL SURGERY AND LASER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "ERNST",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-233-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.