Active NPI
Childrens Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Lancaster, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CHILDRENS SURGERY CENTER, LLC
- Practice address
- 2160 Noll Dr
Lancaster, PA 17603-7603 - Phone
- (161) 047-0868
- NPI assigned
- Sep 13, 2010
- Last updated
- Oct 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Edmondson
- Title
- Director
- Phone
- (629) 666-8612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
2160 Noll Dr
Lancaster, PA 17603-7603
Mailing address
1801 W End Ave Ste 530
Nashville, TN 37203-2515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025657840001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110228000316 | PA | Part B Supplier - Ambulatory Surgical Center | 0143401935 | Practice locations: Lancaster, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1619284536. Details of each certification follow.
Ambulatory surgical center certification: CCN 39C0001286
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- CHILDREN'S SURGERY CENTER LLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Mar 18, 2011
- Last certification
- Nov 23, 2021
- Ownership / control type
- Proprietary
- Facility address
- 2160 Noll Drive Suite 300
Lancaster, PA 17603
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Children's Surgery Center of Malvern
- Ambulatory Surgical Clinic/Center
- Malvern, PA
- NPI 1134499684
Member Of
Locations
2160 Noll Dr
Lancaster, PA 17603
Phone (717) 392-4327
2160 Noll Dr
Ste 300
Lancaster, PA 17603
Phone (717) 481-4828
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Children's Surgery Center of Malvern
- Ambulatory Surgical Clinic/Center
- Malvern, PA
- NPI 1134499684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791763200000",
"number": "1619284536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 W END AVE STE 530",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2160 NOLL DR",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176037603",
"telephone_number": "161-047-0868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-13",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A",
"authorized_official_last_name": "EDMONDSON",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "629-666-8612"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1025657840001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.