Organization Active NPI

Butler Ambulatory Surgery Center L L C

  • Ambulatory Surgical Clinic/Center
  • Butler, PA
National Provider Identifier
1558328518
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
20311501 Issued in PA
Legal business name
BUTLER AMBULATORY SURGERY CENTER L L C
Practice address
102 Technoloby Drive Suite 130
Butler, PA 16001
Phone
(724) 431-0740
Fax
(724) 431-0759
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Mr. Alex W Byers
Title
Executive Director
Phone
(724) 431-0750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 20311501 PA Primary

Addresses

Primary practice location

102 Technoloby Drive Suite 130
Butler, PA 16001

Mailing address

102 Technoloby Drive Suite 130
Butler, PA 16001
Phone (724) 431-0740

Other identifiers 1

IdentifierTypeStateIssuer
1016010080001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060608000067 PA Part B Supplier - Ambulatory Surgical Center 6305858440 Practice locations: Butler, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
The Surgery Center at Benbrook Dba Butler Ambulatory Surgery Center LLCCCN 39C0001210
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1558328518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 TECHNOLOBY DRIVE SUITE 130",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-431-0740",
            "fax_number": "724-431-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 TECHNOLOBY DRIVE SUITE 130",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "16001",
            "telephone_number": "724-431-0740",
            "fax_number": "724-431-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER AMBULATORY SURGERY CENTER L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-431-0750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "20311501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016010080001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.