Middleburg Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MIDDLEBURG SURGERY CENTER LLC

Practice address

1821 Blanding Blvd
Middleburg, FL 32068-3839

Phone

(904) 264-0400

NPI assigned

Sep 10, 2018

Organization subpart

No

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

Authorized official

Name

Esther Christine Lindeman

Title

Administrator

Phone

(904) 264-0400

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Middleburg Surgery Center LLCCCN 10C0001651

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

Practitioners 1

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

• Kenneth Angus Powell, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jacksonville, FL
  • NPI 1992824007

  Interventional Pain Medicine

  NPD

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1558844183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 BLANDING BLVD STE 2",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320683839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 BLANDING BLVD",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320683839",
            "telephone_number": "904-264-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBURG SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-10",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "LINDEMAN",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-264-0400"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S Nason OD PA
• Middleburg Assisted Living Facility, Inc.
• Middleburg Dental PLLC
• Middleburg Dialysis LLC
• Middleburg Rehabilitation and Nursing Center LLC
• Millennium Physician Group LLC
• Ana Maria Miller, APRN
• Anthony Reed Miller, DMD
• Jeanna Miller, RN
• Jessica M Miller, MD

• Ambulatory Surgical Clinic/Center in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.