Virginia Beach Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OH681 Issued in VA

Legal business name

VIRGINIA BEACH AMBULATORY SURGERY CENTER

Practice address

1700 Will O Wisp Dr
Virginia Beach, VA 23454-3164

Phone

(757) 496-6400

Fax

(757) 496-3137

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Martha Colen

Title

Administrative Director

Phone

(757) 496-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

Virginia Beach Ambulatory Surgery CenterCCN 49C0001012

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sentara Hospitals

  dba Sentara Nightingale

  • Air Ambulance
  • Norfolk, VA
  • NPI 1235205147

  Member Of

  NPD member

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1528027026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WILL O WISP DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543164",
            "telephone_number": "757-496-6400",
            "fax_number": "757-496-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WILL O WISP DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543164",
            "telephone_number": "757-496-6400",
            "fax_number": "757-496-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA BEACH AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "COLEN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "757-496-6400"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "OH681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007671008",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlie Stephen Vinson, M.D.
• Ramon Virasoro, M.D
• Alyssa Virgili-Morrill, OTR/L
• Virginia Audiology Inc
• Virginia Beach Aligned Ortho PLLC (Dr. Sarah Orthodontics and Aesthetics)
• Virginia Beach Anesthesia, LLC
• Virginia Beach City Public Schools
• Virginia Beach City Public Schools
• Virginia Beach Clinical Counseling LLC
• Virginia Beach Counseling and Wellness

• Ambulatory Surgical Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, 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 Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.