Melbourne ASC LP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

MELBOURNE ASC LP

Doing business as

The Surgery Center of Melbourne

Practice address

1401 S Apollo Blvd
Suite B
Melbourne, FL 32901-3179

Phone

(321) 725-5151

Fax

(321) 725-5157

NPI assigned

Jul 30, 2009

Last updated

Sep 7, 2023By 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

Mr. Phillip A. Clendenin

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other names 1

• The Surgery Center of Melbourne Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Melbourne ASC LP

  dba The Surgery Center of Melbourne

  • Ambulatory Surgical Clinic/Center
  • Melbourne, FL
  • NPI 1255311635

  O20080801000157

  Same enrollment

Tax ID family

Surgery Center of Melbo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Melbourne ASC LP

  dba The Surgery Center of Melbourne

  • Ambulatory Surgical Clinic/Center
  • Melbourne, FL
  • NPI 1255311635
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Amsurg Melbourne Anesthesia LLC

  • Anesthesiology Physician
  • Melbourne, FL
  • NPI 1477958189

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1487885182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S APOLLO BLVD",
            "address_2": "SUITE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013179",
            "telephone_number": "321-725-5151",
            "fax_number": "321-725-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S APOLLO BLVD",
            "address_2": "SUITE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013179",
            "telephone_number": "321-725-5151",
            "fax_number": "321-725-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELBOURNE ASC LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-30",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Surgery Center of Melbourne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melbeachouse LLC (Seniors Helping Seniors)
• Melbourne Accident & Injury Center, Inc.
• Melbourne Adult Day Care , LLC
• Melbourne Anesthesia, P.a.
• Melbourne ASC LP (The Surgery Center of Melbourne)
• Melbourne ASC LP (The Surgery Center of Melbourne)
• Melbourne Chiropractic, PLLC
• Melbourne Chiropractic, Wellness & Rehab, LLC
• Melbourne Community Health Center
• Melbourne Emergency Group, LLC

• Certified Registered Nurse Anesthetist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.