Organization Active NPI

New Albany Outpatient Surgery, LLC

  • Ambulatory Surgical Clinic/Center
  • New Albany, IN
National Provider Identifier
1497750426
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
022237 Issued in IN
Legal business name
NEW ALBANY OUTPATIENT SURGERY, LLC
Practice address
2201 Green Valley Rd
New Albany, IN 47150-4647
Phone
(812) 949-1223
Fax
(812) 945-4765
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Authorized official

Name
Melissa Williams
Title
Officer and Authorized Official
Phone
(270) 554-8373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 022237 IN Primary

Addresses

Primary practice location

2201 Green Valley Rd
New Albany, IN 47150-4647

Mailing address

2831 Lone Oak Rd
Paducah, KY 42003-8041
Phone (270) 554-8373

Other identifiers 1

IdentifierTypeStateIssuer
100274040MedicaidIN

Other names 1

  • Surgical Center of New Albany Doing business as

National Provider Directory

National Provider Directory

Locations

2831 Lone Oak Rd
Paducah, KY 42003
Phone (270) 554-8373

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1497750426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038041",
            "telephone_number": "270-554-8373",
            "fax_number": "270-554-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 GREEN VALLEY RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504647",
            "telephone_number": "812-949-1223",
            "fax_number": "812-945-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ALBANY OUTPATIENT SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "270-554-8373"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "022237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100274040",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Center of New Albany",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgical Center of New Albany",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.