Phoenix Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PHOENIX AMBULATORY SURGERY CENTER LLC

Practice address

101 Physicians Way
Lebanon, TN 37090-4135

Phone

(615) 521-9097

NPI assigned

Nov 22, 2017

Organization subpart

No

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

Authorized official

Name

Courtney Dismukes Forbes

Title

Billing Manager

Phone

(615) 449-0990

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Roy C. Terry, M.D.

  • Orthopaedic Surgery Physician
  • Lebanon, TN
  • NPI 1649271206
  NPD

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1477067866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PHYSICIANS WAY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904135",
            "telephone_number": "615-444-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PHYSICIANS WAY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904135",
            "telephone_number": "615-521-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "DISMUKES",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "615-449-0990"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Alan Pfountz, D.D.S.
• PH Wellness
• Jenny Len Hong Phan, OD
• Pharmscript of TN LLC
• Sandra Phillips, PHD
• Physiotherapy Associates Inc
• Alton W Pickett, MD
• Jane Shelby Pierce, MSN
• Ginger Pilarski, LPC-MHSP
• Wendy Pillow, RBT

• Ambulatory Surgical Clinic/Center in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.