Surgical Center of Ponte Vedra Beach, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICAL CENTER OF PONTE VEDRA BEACH, LLC

Practice address

1030 A1A N
Ponte Vedra Beach, FL 32082-4019

Phone

(904) 285-1199

NPI assigned

Oct 22, 2014

Organization subpart

No

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

Authorized official

Name

Nancy K Kastner

Title

Administrator

Phone

(407) 256-0933

Specialties & licenses 1

Addresses

Practitioners 1

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

• Timothy Luke Schneider, M.D.

  • Ophthalmology Physician
  • Jacksonville Beach, FL
  • NPI 1730181983
  NPD

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1497159255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 A1A N",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824019",
            "telephone_number": "904-285-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 A1A N",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824019",
            "telephone_number": "904-285-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CENTER OF PONTE VEDRA BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "KASTNER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-256-0933"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Successful Pathways to Wellness
• Sunny Dentistry PLLC
• Sunrise Orthodontics PLLC
• Surgery Center of Ponte Vedra Beach LLC
• Surgical Center of Ponte Vedra Beach LLC
• Anna Swan
• Liudmyla Sysa, MD
• Duane F Szczepanski, M.D.
• Lilia Joy Tabassian, DMD
• Emma Taormina

• Ambulatory Surgical Clinic/Center in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, 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 Oct 22, 2014; 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.