NPIMap

Organization Active NPI

Westmoreland ASC, LLC

  • Anesthesiology Physician
  • Westmoreland, NY
National Provider Identifier
1699254169
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WESTMORELAND ASC, LLC
Practice address
5325 State Route 233
Westmoreland, NY 13490-1322
Phone
(315) 801-5060
NPI assigned
Aug 7, 2018
Last updated
Mar 26, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTMORELAND ASC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Authorized official

Name
Tim Scanlon
Title
Ceo
Phone
(315) 801-5060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary
Certified Registered Nurse Anesthetist 367500000X NU

Addresses

Primary practice location

5325 State Route 233
Westmoreland, NY 13490-1322

Mailing address

5325 State Route 233
Westmoreland, NY 13490-1322
Phone (315) 801-5060

Other names 1

  • APEX Surgery Ctr Anesthesia Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190313000196 NY Part B Supplier - Clinic/Group Practice 9638490451 Receives reassigned benefits from 23 practitioners
Practice locations: Westmoreland, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Westmoreland ASC LLC

Locations

5325 State Route 233
Westmoreland, NY 13490
Phone (315) 798-9788

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553558400000",
    "number": "1699254169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 STATE ROUTE 233",
            "city": "WESTMORELAND",
            "state": "NY",
            "postal_code": "134901322",
            "telephone_number": "315-801-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 STATE ROUTE 233",
            "city": "WESTMORELAND",
            "state": "NY",
            "postal_code": "134901322",
            "telephone_number": "315-801-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTMORELAND ASC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTMORELAND ASC LLC",
        "enumeration_date": "2018-08-07",
        "last_updated": "2019-03-26",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-801-5060"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APEX Surgery Ctr Anesthesia",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "APEX Surgery Ctr Anesthesia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westmoreland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.