Wyomissing Surgical Services Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

16691501 Issued in PA

Legal business name

WYOMISSING SURGICAL SERVICES INC.

Practice address

1235 Penn Ave
Suite 100
Wyomissing, PA 19610-2100

Phone

(610) 373-3715

Fax

(610) 373-3164

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jason Thomas Bundy, M.D.

Title

Medical Director

Phone

(610) 373-3715

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Wyomissing Surgical Services IncCCN 39C0001141

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.

• James Philip Barrett, M.D., PH.D.

  • Interventional Pain Medicine Physician
  • Reading, PA
  • NPI 1205833654
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1568469328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 PENN AVE",
            "address_2": "SUITE 100",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102100",
            "telephone_number": "610-373-3715",
            "fax_number": "610-373-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 PENN AVE",
            "address_2": "SUITE 100",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102100",
            "telephone_number": "610-373-3715",
            "fax_number": "610-373-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMISSING SURGICAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-373-3715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "16691501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2072",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "390850",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1869",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WORKER'S COMP",
            "identifier": "104918000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "231648",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wyomissing Family Medical Assoc LLC
• Wyomissing Hills Podiatric Surgery Center
• Wyomissing Open MRI, LLC
• Wyomissing Optometric Center, Inc.
• Wyomissing Surgical Clinic, LTD.
• Wypa Anesthesia, LLC
• Amanda Yahn
• Andrea M Yannelli-Clark, PT
• Heather Marie Yannuzzi
• Alissa Rayann Yenser, MS, LAT, ATC

• Ambulatory Surgical Clinic/Center in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.