NPIMap

Organization Active NPI

Lynn Haven Surgical Center Inc

  • Surgery Physician
  • Lynn Haven, FL
National Provider Identifier
1508892639
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
LYNN HAVEN SURGICAL CENTER INC
Practice address
1301 Ohio Ave
Lynn Haven, FL 32444-2558
Phone
(850) 265-6604
Fax
(850) 265-4879
NPI assigned
Jun 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Aziz Ahmad, M.D.NPI 1649300039
Title
Owner
Phone
(850) 265-6604

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208C00000X

Addresses

Primary practice location

1301 Ohio Ave
Lynn Haven, FL 32444-2558

Mailing address

1301 Ohio Ave
Lynn Haven, FL 32444-2558
Phone (850) 265-6604

National Provider Directory

National Provider Directory

Locations

1301 Ohio Ave
Lynn Haven, FL 32444
Phone (850) 265-6604

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1508892639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324442558",
            "telephone_number": "850-265-6604",
            "fax_number": "850-265-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 OHIO AVE",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324442558",
            "telephone_number": "850-265-6604",
            "fax_number": "850-265-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNN HAVEN SURGICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "AZIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-265-6604",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.