Active NPI
Webster Surgical Center of Tallahassee LLC.
- Ambulatory Surgical Clinic/Center
- Tallahassee, FL
National Provider Identifier
1679662001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 1140
- Legal business name
- WEBSTER SURGICAL CENTER OF TALLAHASSEE LLC.
- Practice address
- 2048 Centre Pointe LN
Tallahassee, FL 32308-4300 - Phone
- (850) 878-0471
- Fax
- (850) 942-5733
- NPI assigned
- Oct 12, 2006
- 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
- Mr. Thaddeus J Hill
- Title
- Coo
- Phone
- (850) 878-0471
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 1140 | FL | Primary |
Addresses
Primary practice location
2048 Centre Pointe LN
Tallahassee, FL 32308-4300
Mailing address
2048 Centre Pointe LN
Tallahassee, FL 32308-4300
Phone (850) 878-0471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075409900 | Medicaid | FL |
Other names 1
- Webster Surgical Center
National Provider Directory
National Provider DirectoryLocations
2048 Centre Pointe Ln
Tallahassee, FL 32308
Phone (850) 878-0471
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267056000000",
"number": "1679662001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2048 CENTRE POINTE LN",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084300",
"telephone_number": "850-878-0471",
"fax_number": "850-942-5733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2048 CENTRE POINTE LN",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084300",
"telephone_number": "850-878-0471",
"fax_number": "850-942-5733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEBSTER SURGICAL CENTER OF TALLAHASSEE LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2010-02-25",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "THADDEUS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "850-878-0471",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "1140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075409900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Webster Surgical Center",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.