Wilmington ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WILMINGTON ASC LLC

Doing business as

Wilmington Health Ambulatory Surgery Center

Practice address

2421 Silver Stream LN
Wilmington, NC 28401-7684

Phone

(910) 341-3343

NPI assigned

Jun 12, 2024

Last updated

Jun 12, 2024By 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

Pamela Suzanne Kearns

Title

Cfo

Phone

(910) 341-3300

Specialties & licenses 1

Addresses

Other names 1

• Wilmington Health Ambulatory Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659113207. Details of each certification follow.

• CCN 34C0001238 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 34C0001238

Legal name

Wilmington Health Endoscopy & Surgical Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 22, 2024

Last certification

Oct 22, 2024

Facility address

2421 Silver Stream Ln.
Wilmington, NC 28401

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wilmington ASC LLC

  dba Wilmington Health Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Wilmington, NC
  • NPI 1548456478

  8527442979

  Same PAC ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Wilmington Health PLLC

  • Specialist
  • Leland, NC
  • NPI 1780859736

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1659113207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 SILVER STREAM LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017684",
            "telephone_number": "910-341-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "KEARNS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-341-3300"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilmington Health Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda D Wills, NP
• Wilmington Adult Medicine Stephen J Liederbach MD PLLC
• Wilmington Aesthetic Facial Plastic and Reconstructive Center, LLC
• Wilmington Anesthesiologists PLLC
• Wilmington ASC LLC (Wilmington Health Ambulatory Surgery Center)
• Wilmington Cardiology PLLC
• Wilmington Child and Family Psychiatry, PLLC
• Wilmington Chiropractic
• Wilmington Dermatology Center, PLLC
• Wilmington Dry Needling Company

• Ambulatory Surgical Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.

Verify at the official NPI Registry.