Active NPI
Atlantic Surgery Center Inc
- Multi-Specialty Clinic/Center
- Daytona Beach, FL
National Provider Identifier
1518976661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 1020
- Legal business name
- ATLANTIC SURGERY CENTER INC
- Practice address
- 541 Health Blvd
Daytona Beach, FL 32114-1493 - Phone
- (386) 239-0021
- Fax
- (386) 248-8226
- NPI assigned
- Aug 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony L Cantwell, M.D.
- Title
- President
- Phone
- (386) 239-0021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | 1020 | FL | Primary |
Addresses
Primary practice location
541 Health Blvd
Daytona Beach, FL 32114-1493
Mailing address
541 Health Blvd
Daytona Beach, FL 32114-1493
Phone (386) 239-0021
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1495361 | Other | FL | UNITED MINE WORKERS |
| 006574700 | Medicaid | FL | |
| 64J | Other | FL | BLUE CROSS AND BLUE SHIEL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120308000268 | FL | Part B Supplier - Ambulatory Surgical Center | 7618136763 | Practice locations: Daytona Beach, FL |
Hospital certification: CCN 100358
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- ATLANTIC SURGERY CENTER INC
- Certification status
- Terminated Voluntary: merger or closure, May 11, 2023
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Oct 1, 2021
- Last certification
- Oct 1, 2021
- Beds
- 1
- Ownership / control type
- Private (for profit)
- Facility address
- 541 Health Blvd
Daytona Beach, FL 32114
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Atlantic Surgery Center Inc
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryNetworks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://1e97bf46-5f98-4384-bf8d-cffaf9bb8f4c.gastro.prod.fhir.ema-api.com/fhir/r4/
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Daytona Beach, FL
- NPI 1346291259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494460800000",
"number": "1518976661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 HEALTH BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141493",
"telephone_number": "386-239-0021",
"fax_number": "386-248-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "541 HEALTH BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141493",
"telephone_number": "386-239-0021",
"fax_number": "386-248-8226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC SURGERY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-07",
"last_updated": "2017-05-11",
"status": "A",
"authorized_official_last_name": "CANTWELL",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-239-0021",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "FL",
"license": "1020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MINE WORKERS",
"identifier": "1495361",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006574700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "64J",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
- Atlantic Gastroenterology Associates, P.a.
- Atlantic Nutrition Centers LLC
- Atlantic Orthopaedics, PA
- Atlantic Podiatry Associates DPM PA
- Atlantic Snore and Sleep Apnea Center LLC
- Atlantic Urological Associates P a
- Atlantic Urological Associates P a
- Atlantic Urological Associates P a
- Atlantic Urological Associates P a
- Atlas Academy, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.