Cedar Hills Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

071576 Issued in OR

Legal business name

CEDAR HILLS AMBULATORY SURGERY CENTER LLC

Practice address

10305 SW Park Way Ste 101
Portland, OR 97225-5033

Phone

(971) 222-0334

Fax

(971) 222-0337

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Karen Wood

Title

Administrator

Phone

(971) 222-0334

Specialties & licenses 1

Addresses

Other names 1

• Cedar Hills Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Listed as

Cedar Hills Ambulatory Surgery Center LLCCCN 38C0001077

Medicare certification status

ActiveFrom the Provider of Services file

Practitioners 1

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

• Vladimir B. Fiks, MD

  • Interventional Pain Medicine Physician
  • Portland, OR
  • NPI 1063418333
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1609896539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10305 SW PARK WAY STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255033",
            "telephone_number": "971-222-0334",
            "fax_number": "971-222-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10305 SW PARK WAY STE 101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255033",
            "telephone_number": "971-222-0334",
            "fax_number": "971-222-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILLS AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "971-222-0334",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "071576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hills Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Lynn Cecil, FNP
• Cynthia Ceciliani
• Kristi Ceciliani
• Denny Cecilio Guzman
• Cedar Creek Internal Medicine,PC
• Cedar Hills Dental Care
• Cedar Hills Dentistry for Kids LLC
• Cedar Hills Legacy Dental LLC
• Cedar Hills Vision Clinic Inc
• Cedar Midwifery, LLC

• Ambulatory Surgical Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.