Hernando Hma LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1037 Issued in FL

Legal business name

HERNANDO HMA LLC

Doing business as

Hernando Endoscopy & Surgery Center

Practice address

12180 Cortez Blvd
Brooksville, FL 34613

Phone

(352) 596-4999

Fax

(352) 596-2769

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Damodar Kanuri

Title

Administrator

Phone

(352) 596-4999

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Hernando Endoscopy & Surgery Center Doing business as

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1609969302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12180 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34613",
            "telephone_number": "352-596-4999",
            "fax_number": "352-596-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12180 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34613",
            "telephone_number": "352-596-4999",
            "fax_number": "352-596-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERNANDO HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "KANURI",
        "authorized_official_first_name": "DAMODAR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-596-4999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6AT",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003213900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "490003238",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF FL",
            "identifier": "593354295",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hernando Endoscopy & Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Milena Hernandez
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• Hernando Hma LLC
• Hernando Hma LLC
• Hernando Medical Inc
• Hernando Neurosurgery PLLC
• Hernando Radiology Consultants, PL
• Hernando Skin & Cancer Center P.a.

• Ambulatory Surgical Clinic/Center in Brooksville, FL
• Providers in Brooksville, 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 Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.