Short Pump CV Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SHORT PUMP CV AMBULATORY SURGERY CENTER LLC

Practice address

4221 Bon Secours Parkway
Suite 100
Henrico, VA 23233

Phone

(303) 396-9391

NPI assigned

Aug 21, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Charles Tomlinson Kline IV

Title

Senior Vice President of Operations

Phone

(303) 396-9391

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1518873207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 PARKLAKE AVE STE 510",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 BON SECOURS PARKWAY",
            "address_2": "SUITE 100",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23233",
            "telephone_number": "303-396-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORT PUMP CV AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "TOMLINSON",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "303-396-9391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hammad Asaed Shere, DMD
• Shifaa Trans LLC
• Sherrisse Shinaul
• Marinda Shindler, CPM, LM
• Kyle Ethan Shope
• Short Pumps Dental
• Joshua Forest Shows, O.D.
• Melissa Nicole Shuler, MED, BCBA, LBA
• Susanne Shulleeta, RPH
• Emily A Silva, OTD

• Ambulatory Surgical Clinic/Center in Henrico, VA
• Providers in Henrico, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.