Madison Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

PENDING Issued in MS

Legal business name

MADISON AMBULATORY SURGERY CENTER, LLC

Practice address

1883 Highway 43 S
Suite J
Canton, MS 39046-8405

Phone

(601) 942-7254

NPI assigned

Jun 12, 2006

Last updated

Jul 21, 2022By 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

Andrea Martell

Title

Director

Phone

(360) 402-1433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659313930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 HIGHWAY 43 S",
            "address_2": "SUITE J",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390468405",
            "telephone_number": "601-942-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1883 HIGHWAY 43 S",
            "address_2": "SUITE J",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390468405",
            "telephone_number": "601-942-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-402-1433"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MS",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred Loving
• LS Private Homecare Service (Home Healthcare)
• Alexia Lucious
• Lindsey Akers Lynch
• Nicole M Mack
• Madison County Citizens Services Agency
• Madison County General Hospital (Madison County Nursing Home)
• Madison County Nursing Home
• Madison Emergency Group LLC
• Madison Hma (Patients Choice Senior Care of Madison County)

• Ambulatory Surgical Clinic/Center in Canton, MS
• Providers in Canton, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.