Memorial Healthcare System Ambulatory Care Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MEMORIAL HEALTHCARE SYSTEM AMBULATORY CARE CENTER, LLC

Doing business as

Joe DiMaggio Children's Health Outpatient Surgery Center at Wellington

Practice address

3377 South State Road 7 Suite 200
Wellington, FL 33449-8082

Phone

(954) 265-3451

NPI assigned

Oct 3, 2018

Last updated

Feb 21, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nina Beauchesne

Title

Executive Vice President

Phone

(954) 265-3451

Specialties & licenses 1

Addresses

Other names 2

• Joe DiMaggio Children's Health Outpatient Surgery Center at Wellington Doing business as
• South Broward Hospital District Other name

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• South Broward Hospital District

  dba Memorial Division of General Surgery

  • Surgery Physician
  • Pembroke Pines, FL
  • NPI 1669713673

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1467937623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 STIRLING RD",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126566",
            "telephone_number": "954-265-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 SOUTH STATE ROAD 7 SUITE 200",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498082",
            "telephone_number": "954-265-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HEALTHCARE SYSTEM AMBULATORY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "BEAUCHESNE",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "954-265-3451"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joe DiMaggio Children's Health Outpatient Surgery Center at Wellington",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Broward Hospital District",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "South Broward Hospital District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Svetlana Mehlman, PT,DPT
• Howard S. Meiselman, DO
• Minni Meka, M.D
• Steven Robert Mellion, LNHA
• Memonde Health
• Edgar Alejandro Mena Merceron
• Paola Mendoza-Rivera, PHD
• Migdelis Mendoza
• Sandhya Menon, M.D.
• Irene M Mercier, RPH

• Ambulatory Surgical Clinic/Center in Wellington, FL
• Providers in Wellington, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.