Outpatient Surgery Center of Hilton Head

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASF-092 Issued in SC

Legal business name

OUTPATIENT SURGERY CENTER OF HILTON HEAD

Practice address

190 Pembroke Dr
Hilton Head Island, SC 29926-2389

Phone

(843) 682-5002

Fax

(843) 682-5041

NPI assigned

May 2, 2006

Last updated

Aug 22, 2020By 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

Mr. Richard E Thomas

Title

C.E.O.

Phone

(843) 682-5001

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Listed as

Outpatient Surgery Center of Hilton HeadCCN 42C0001064

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Glenn Peter Gwozdz, MD

  • Gastroenterology Physician
  • Hilton Head, SC
  • NPI 1487785879
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619935483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PEMBROKE DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262389",
            "telephone_number": "843-682-5002",
            "fax_number": "843-682-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PEMBROKE DR",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262389",
            "telephone_number": "843-682-5002",
            "fax_number": "843-682-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTPATIENT SURGERY CENTER OF HILTON HEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "843-682-5001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "ASF-092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ASC061",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optical Solutions
• Option Care of the Lowcountry
• Allison Anne Orr
• Charmaine Christine Orton, PHD, FNP
• Elizabeth H Ott, M.S.
• Benjamin D Overley Jr., D.P.M.
• P & P Medical Equipment LLC (Palmetto Medical Equipment)
• Arnold Tacmo Pagatpatan, OTR/L
• Albert Sharafe Palatchi, M.D.
• Devon M Palmer

• Ambulatory Surgical Clinic/Center in Hilton Head Island, SC
• Providers in Hilton Head Island, SC by specialty
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.