Statesboro Ambulatory Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

STATESBORO AMBULATORY SURGERY CENTER INC

Practice address

95 Bel Air Dr
Statesboro, GA 30461-6879

Phone

(912) 489-6519

Fax

(912) 764-7882

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Robert W. Cushner, DPMNPI 1568480051

Title

President/Owner

Phone

(912) 489-6519

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert William Cushner, DPM

  • Podiatrist
  • Statesboro, GA
  • NPI 1568480051
  NPD Authorized official

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1700152113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 BEL AIR DR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304616879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 BEL AIR DR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304616879",
            "telephone_number": "912-489-6519",
            "fax_number": "912-764-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESBORO AMBULATORY SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "CUSHNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "912-489-6519",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Lee Sparks, DC, ATC
• Leon Edward Spencer, EDD
• Stephanie Lupita Spencer, LCSW
• Deborah Kay Stalcup, LMT
• Statesboro Ambul Surg Ctr Inc
• Statesboro Ambulatory Surgery Center, Inc
• Statesboro Cardiology, PC
• Statesboro Children's Dental Center, PC
• Statesboro ENT & FPS Clinic, P.C. (Statesboro ENT & H Clinic)
• Statesboro ENT & Sinus Center

• Ambulatory Surgical Clinic/Center in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.