Surgery Center of Cullman LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF CULLMAN LLC

Practice address

1403 Wall Street NE
Cullman, AL 35055

Phone

(256) 736-2811

NPI assigned

Aug 5, 2006

Last updated

Sep 28, 2007By 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

Kimberly Wood

Title

Director

Phone

(828) 236-3027

Specialties & licenses 1

Addresses

Other names 1

• HEALTHSOUTH/Woodlands Surgery Center of Cullman, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Listed as

Surgery Center of Cullman LLCCCN 01C0001048

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

Member of 2

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

• Cullman Regional Medical Center

  dba Cullman Regional Medical Center Outpatient Pharmacy

  • Rural Acute Care Hospital
  • Cullman, AL
  • NPI 1417306663

  Member Of

  NPD member
• Health Care Authority of Cullman

  dba Cullman Emergency Medical Services

  • Ambulance
  • Cullman, AL
  • NPI 1942277124

  Member Of

  NPD member

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1669481255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 WALL STREET NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35055",
            "telephone_number": "256-736-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 WALL STREET NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35055",
            "telephone_number": "256-736-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF CULLMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "828-236-3027"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHSOUTH/Woodlands Surgery Center of Cullman, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Angela Stout
• Alana Grace Strawn
• Amy O Stubbs, M.D.
• STV Sports Medicine & Orthopedics LLC
• Cynthia Suarez
• Surgical Arts PC
• Dylan Surrett
• Susan Enterprises (Medical Arts Apothecary)
• Jerry Esmond Sutherland, O.D.
• Angela Sutton

• Ambulatory Surgical Clinic/Center in Cullman, AL
• Providers in Cullman, AL by specialty
• Ambulatory Surgical Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.