Organization Active NPI

Cypress Creek Outpatient Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1679086078
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CYPRESS CREEK OUTPATIENT SURGICAL CENTER, LLC
Practice address
Cypress Creek Outpatient Surgical Center, LLC
Ft. Lauderdale, FL 33309-1829
Phone
(954) 986-7079
Fax
(954) 986-1331
NPI assigned
Nov 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Liliana Lehmann, MBA
Title
Administrator
Phone
(954) 900-3382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X FL Primary

Addresses

Primary practice location

Cypress Creek Outpatient Surgical Center, LLC
Ft. Lauderdale, FL 33309-1829

Mailing address

2122 W Cypress Creek Rd Ste 120
Ft Lauderdale, FL 33309-1866
Phone (954) 900-3382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180820003589 FL Part B Supplier - Ambulatory Surgical Center 4486903796 Practice locations: Fort Lauderdale, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Cypress Creek Outpatient Surgical Center LLCCCN 10C0001629
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1679086078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 W CYPRESS CREEK RD STE 120",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091866",
            "telephone_number": "954-900-3382",
            "fax_number": "954-368-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CYPRESS CREEK OUTPATIENT SURGICAL CENTER, LLC",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "333091829",
            "telephone_number": "954-986-7079",
            "fax_number": "954-986-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS CREEK OUTPATIENT SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "LEHMANN",
        "authorized_official_first_name": "LILIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-900-3382",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.