NPIMap

Organization Active NPI

Cutaneous Oncology & Surgery Center, LLC

Doing business as SmoothRock Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vestavia HLS, AL
National Provider Identifier
1699139915
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CUTANEOUS ONCOLOGY & SURGERY CENTER, LLC
Doing business as
SmoothRock Surgery Center
Practice address
1940 Stonegate Dr Ste 140
Vestavia HLS, AL 35242-2541
Phone
(205) 968-3919
Fax
(205) 968-3918
NPI assigned
Apr 12, 2016
Last updated
Mar 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Authorized official

Name
Dr. Christopher Harmon, MDNPI 1497791628
Title
Owner
Phone
(205) 977-9876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1940 Stonegate Dr Ste 140
Vestavia HLS, AL 35242-2541

Mailing address

1940 Stonegate Dr Ste 140
Vestavia HLS, AL 35242-2541
Phone (205) 968-3919

Other identifiers 3

IdentifierTypeStateIssuer
014-348OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
U3714OtherALSTATE LICENSE
01C0001056OtherALCMS CCN

Other names 1

  • SmoothRock Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180731001949 AL Part B Supplier - Ambulatory Surgical Center 6709134216 Practice locations: Vestavia HLS, AL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Cutaneous Oncology and Surgery Center LLC Dba Smoothrock Surgery CenterCCN 01C0001056
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2132974Cutaneous Oncology & Surgery Center LLC1940 Stonegate Drive Suite 140, Vestavia Hills, AL 35242Certificate of waiverJun 29, 2027

National Provider Directory

National Provider Directory

Locations

1940 Stonegate Dr
Ste 140
Vestavia Hls, AL 35242
Phone (205) 968-3919

Practitioners & affiliated clinicians

Practitioners 88

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.

View all 88

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583280000000",
    "number": "1699139915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 STONEGATE DR STE 140",
            "city": "VESTAVIA HLS",
            "state": "AL",
            "postal_code": "352422541",
            "telephone_number": "205-968-3919",
            "fax_number": "205-968-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 STONEGATE DR STE 140",
            "city": "VESTAVIA HLS",
            "state": "AL",
            "postal_code": "352422541",
            "telephone_number": "205-968-3919",
            "fax_number": "205-968-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTANEOUS ONCOLOGY & SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-977-9876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "014-348",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "U3714",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CCN",
            "identifier": "01C0001056",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmoothRock Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SmoothRock Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vestavia HLS, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.