Physicians Ambulatory Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

886 Issued in FL

Legal business name

PHYSICIANS AMBULATORY SURGERY CENTER INC

Practice address

300 Clyde Morris Blvd
Suite B
Ormond Beach, FL 32174-5956

Phone

(386) 672-1080

Fax

(386) 672-8628

NPI assigned

Aug 10, 2006

Last updated

Feb 19, 2009By 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

Mrs. Elizabeth Lee Baylor

Title

Administrator

Phone

(386) 672-1080

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Physicians Ambulatory Surgery Center IncCCN 10C0001202

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

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.

• Gregory Alan Parr, M.D.

  • Urology Physician
  • Ormond Beach, FL
  • NPI 1194765495
  NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1669483137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CLYDE MORRIS BLVD",
            "address_2": "SUITE B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745956",
            "telephone_number": "386-672-1080",
            "fax_number": "386-672-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CLYDE MORRIS BLVD",
            "address_2": "SUITE B",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745956",
            "telephone_number": "386-672-1080",
            "fax_number": "386-672-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS AMBULATORY SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "BAYLOR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-672-1080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079155500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Fields Pettit, MS, LMFT
• Lorenzo Tien Phan, L.AC
• Pharaohs Trading L.L.C. (Dental and Medical Supplies)
• Terri Phoenix, M.ED., LPC, NCC
• Phpts of Ormond Beach, LLC (5Palms)
• Charles Lawrence Piazza Jr., DPT, ATC, MTC
• Jill Anne Piazza, PT
• Emmalynn I Pier, LMT
• Meg Pierce, PA
• Jesse McCoy Pietroburgo, DPT

• Ambulatory Surgical Clinic/Center in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.