Organization Active NPI

Webster Surgical Center of Tallahassee LLC.

  • Ambulatory Surgical Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1679662001
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1140 Issued in FL
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

Updated by the provider on Feb 25, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
075409900MedicaidFL

Other names 1

  • Webster Surgical Center Former legal business name

National Provider Directory

National Provider Directory

Locations

2048 Centre Pointe Ln
Tallahassee, FL 32308
Phone (850) 878-0471

Networks

  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

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.

Verify at the official NPI Registry.