Surgery Center of Fairfield County LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0283 Issued in CT

Legal business name

SURGERY CENTER OF FAIRFIELD COUNTY LLC

Practice address

112 Quarry Rd FL 3
Trumbull, CT 06611-4848

Phone

(203) 374-1515

NPI assigned

Apr 21, 2006

Last updated

Jun 29, 2021By 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

Faith Sue Kycia

Title

Chief Administrative Officer

Phone

(203) 993-0315

Specialties & licenses 1

Addresses

Other names 1

• HEALTHSOUTH SURGERY CENTER OF BRIDGEPORT, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Listed as

Surgery Center of Fairfield County LLCCCN 07C0001003

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 1

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.

• Adam Pearl, MD

  • Otolaryngology Physician
  • Trumbull, CT
  • NPI 1912932385
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1487610390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 QUARRY RD FL 3",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114848",
            "telephone_number": "203-374-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 QUARRY RD FL 3",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114848",
            "telephone_number": "203-374-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF FAIRFIELD COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "KYCIA",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "203-993-0315"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CT",
            "license": "0283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHSOUTH SURGERY CENTER OF BRIDGEPORT, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sarah Joann Struthers, OTR/L
• Daniel Paul Stupak, M.D.
• Sabrina Suarez
• Juanita Sumler
• Rita Supernaw, RPH
• Susan Sherrick Counseling, LLC
• Debra Sutherland, COTA
• Swing & Sport Physical Therapy and Performance, LLC
• Abdalla Syed
• Helen Ta

• Ambulatory Surgical Clinic/Center in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Ambulatory Surgical Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.