Princess Anne Ambulatory Surgery Management LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PRINCESS ANNE AMBULATORY SURGERY MANAGEMENT LLC

Doing business as

Princess Anne Ambulatory Surgery Center

Practice address

1975 Glenn Mitchell Dr
Suite 300
Virginia Beach, VA 23456-0167

Phone

(757) 507-0170

Fax

(757) 507-0171

NPI assigned

May 25, 2006

Last updated

Nov 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Porter

Title

Secretary

Phone

(757) 455-7766

Specialties & licenses 1

Addresses

Other names 1

• Princess Anne Ambulatory Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

Princess Anne Ambulatory Surgery Management LLCCCN 49C0001045

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sentara Hospitals

  dba Sentara Leigh Hospital

  • General Acute Care Hospital
  • Norfolk, VA
  • NPI 1811957681

  Member Of

  NPD member

Practitioners 1

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.

• Patrick John Schuette, M.D.

  • Anesthesiology Physician
  • Portsmouth, VA
  • NPI 1811957772
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1740236454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 GLENN MITCHELL DR",
            "address_2": "SUITE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560167",
            "telephone_number": "757-507-0170",
            "fax_number": "757-507-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 GLENN MITCHELL DR",
            "address_2": "SUITE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560167",
            "telephone_number": "757-507-0170",
            "fax_number": "757-507-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCESS ANNE AMBULATORY SURGERY MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "757-455-7766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Princess Anne Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tatum Lynn Primeau, BSN, RN, SRNA
• Primecare Internal Medicine PC
• Prince Psychotherapy
• Michael S Prince, LCSW
• Princeking Home Care LLC
• Princess Anne ENT & Allergy, PC.
• Princess Anne H&R Ops Limited Partnership (Princess Anne Health & Rehabilitation Center)
• Princess Anne Psychological
• Princess Anne SNF LLC (Princess Anne Health & Rehabilitation Center)
• Princess Anne Surgery, P.C.

• Ambulatory Surgical Clinic/Center in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.