Active NPI
Cypress Creek Outpatient Surgical Center, LLC
- Ambulatory Surgical Clinic/Center
- Fort Lauderdale, FL
National Provider Identifier
1679086078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryNetworks
- 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.