Abilene Center for Orthopedic and Multispecialty Surgery, L.L.C.
Organization Active NPI Ambulatory Surgical Clinic/Center · Abilene, TX
NPI 1497201867 · NPPES record last updated Oct 30, 2019
Key facts
- NPI
- 1497201867
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- ABILENE CENTER FOR ORTHOPEDIC AND MULTISPECIALTY SURGERY, L.L.C.
- Practice address
- 6449 Central Park Blvd
Abilene, TX 79606-5884 - Phone
- (252) 328-1103
- Fax
- (325) 232-8789
- NPI assigned
- Aug 26, 2016
- Organization subpart
- No
Authorized official
- Name
- Dawn O'Neill
- Title
- Administrator
- Phone
- (325) 232-8110
Practitioners 1
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Abilene Center for Orthopedic and Multispecialty Surgery LLC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2129987 | Abilene Center for Orthopedic and | Certificate of waiver | Apr 27, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180504000113 | TX | Part B Supplier - Ambulatory Surgical Center | 8921362609 | Practice locations: Abilene, TX |
National Provider Directory
Locations
2074 Antilley Rd
Ste 200
Abilene, TX 79606
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
6449 Central Park Blvd
Abilene, TX 79606-5884
Mailing address
6449 Central Park Blvd
Abilene, TX 79606-5884
Phone (325) 232-8110
Other providers in Abilene, TX
- Abilene Audiology Co., LLC
- Abilene Behavioral Health, LLC
- Abilene Bone & Joint Clinic
- Abilene Cardiology Consultants PA
- Abilene Cardiovascular Surgery, P.a.
- Abilene Children'S Medical Association, LLP
- Abilene Chiropractic Associates
- Abilene Chiropractic PC
- Abilene Christian University
- Abilene Christian University
All providers in Abilene, TX · Ambulatory Surgical Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.