Active NPI
North Florida Surgery Center Inc
- Anesthesiology Physician
- Lake City, FL
National Provider Identifier
1659535367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME70187
- Legal business name
- NORTH FLORIDA SURGERY CENTER INC
- Practice address
- 256 SW Professional GLN
Lake City, FL 32025-1104 - Phone
- (386) 758-8937
- Fax
- (386) 755-2169
- NPI assigned
- Jul 11, 2008
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Richard Reichert, M.D.
- Title
- President
- Phone
- (386) 758-8937
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ambulatory Surgical Clinic/Center
- Lake City, FL
- NPI 1467582437
Same PAC ID 5991782450
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Lake City, FL
- NPI 1316581879
-
- Certified Registered Nurse Anesthetist
- Gainesville, FL
- NPI 1083991350
-
- Certified Registered Nurse Anesthetist
- Lake City, FL
- NPI 1457345092
-
- Surgery Physician
- Lake City, FL
- NPI 1629483508
-
- Certified Registered Nurse Anesthetist
- Gainesville, FL
- NPI 1417237371
-
- Certified Registered Nurse Anesthetist
- Jacksonville, FL
- NPI 1295894384
-
- Certified Registered Nurse Anesthetist
- Newburgh, NY
- NPI 1124256656
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040701001356 | FL | Part B Supplier - Clinic/Group Practice | 5991782450 |
Receives reassigned benefits from 7 practitioners Practice locations: Lake City, FL |
National Provider Directory
Locations
256 SW Professional Gln
Ste 101
Lake City, FL 32025
Phone (386) 758-8937
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME70187 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
256 SW Professional GLN
Lake City, FL 32025-1104
Mailing address
256 SW Professional GLN
Lake City, FL 32025-1104
Phone (386) 758-8937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 11, 2008.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1659535367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 SW PROFESSIONAL GLN",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320251104",
"telephone_number": "386-758-8937",
"fax_number": "386-755-2169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 SW PROFESSIONAL GLN",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320251104",
"telephone_number": "386-758-8937",
"fax_number": "386-755-2169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH FLORIDA SURGERY CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-11",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "REICHERT",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-758-8937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME70187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
- North Florida Pharmacy, Inc.
- North Florida Primary Care PLLC
- North Florida Radiation Oncology
- North Florida Rehabilitation, Inc.
- North Florida Surgery Center Inc
- North Florida/South Georgia Veteran'S Health Administration
- Christina E North
- Notami Hospitals of Florida Inc
- Notami Hospitals of Florida Inc
- Rebecca Blue O'Connell, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.