Orthopaedic Associates Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

121262 Issued in GA

Legal business name

ORTHOPAEDIC ASSOCIATES SURGERY CENTER, LLC

Practice address

811 13TH St
Suite 21
Augusta, GA 30901-2700

Phone

(706) 396-3700

Fax

(706) 396-3759

NPI assigned

Oct 20, 2006

Last updated

Nov 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul J. Herzwurm, M.D.NPI 1144255068

Title

Medical Director

Phone

(706) 396-3700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Orthopaedic Associates Surgery Center LLCCCN 11C0001225

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul James Herzwurm, MD

  • Orthopaedic Surgery Physician
  • Augusta, GA
  • NPI 1144255068
  Authorized official Same address or phone
• Larry Wayne Carter, MD

  • Orthopaedic Surgery Physician
  • Augusta, GA
  • NPI 1811933997
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1598847139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 13TH ST",
            "address_2": "SUITE 21",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012700",
            "telephone_number": "706-396-3700",
            "fax_number": "706-396-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 13TH ST",
            "address_2": "SUITE 21",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012700",
            "telephone_number": "706-396-3700",
            "fax_number": "706-396-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC ASSOCIATES SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "HERZWURM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-396-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "121262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "435205712A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Edward Orr, PH.D.
• Ortho Sport & Spine Physicians Augusta
• Orthoatlanta, LLC
• Orthopaedic Associates of Augusta P a
• Orthopaedic Associates of Augusta PA (Legend Orthopedics)
• Maria Fernanda Ortiz Kaemena, MD
• Alycea Ortiz
• Luis A. Ortiz, MD
• Thomas Patrick Osborn, DDS
• Lisa Yvette Osborne

• Ambulatory Surgical Clinic/Center in Augusta, GA
• Providers in Augusta, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.