Wilmington Ambulatory Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

2000101490 Issued in DE

Legal business name

WILMINGTON AMBULATORY SURGICAL CENTER, LLC

Doing business as

American Surgery Center

Practice address

900 Foulk Rd Ste 100
Wilmington, DE 19803-3155

Phone

(302) 777-4800

Fax

(302) 777-2111

NPI assigned

Dec 8, 2006

Last updated

May 9, 2023By 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

Kemal Erkan

Title

Owner/Chairman

Phone

(302) 266-9166

Specialties & licenses 8

Addresses

Other names 1

• American Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619036381. Details of each certification follow.

• CCN 080010 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 080010

Legal name

AMERICAN SURGERY CENTER

Certification status

Terminated Other: provider status change, Apr 4, 2020

Provider type (POS)

Hospital – Short-term

Participating since

Apr 3, 2020

Last certification

Apr 3, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

900 Foulk Road, Suite 100
Wilmington, DE 19803

Listed as

Wilmington Ambulatory Surgical Center LLCCCN 08C0001009

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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.

• Gail M Wynn, MD

  • Surgery Physician
  • Newark, DE
  • NPI 1891723540
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1619036381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 BECKWOODS DRIVE",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013833",
            "telephone_number": "302-266-9166",
            "fax_number": "866-319-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 FOULK RD STE 100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033155",
            "telephone_number": "302-777-4800",
            "fax_number": "302-777-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON AMBULATORY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "ERKAN",
        "authorized_official_first_name": "KEMAL",
        "authorized_official_title_or_position": "OWNER/CHAIRMAN",
        "authorized_official_telephone_number": "302-266-9166"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "DE",
            "license": "2000101490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "American Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christie Willis
• Michael Andrew Williston, PSY.D.
• Maurisa Willmot
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• Pamela B Wills, CADC
• Wilmington Assisted Living LLC (Sunrise of Wilmington)
• Wilmington Audiology Services
• Wilmington Cardiovascular Associates LLC
• Wilmington Chiropractic Health Center LLC
• Wilmington Dental & Implants PA

• Ambulatory Surgical Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Ambulatory Surgical Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.