King of Prussia Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KING OF PRUSSIA SURGERY CENTER, LLC

Doing business as

King of Prussia Surgery Center

Practice address

950 Pulaski Dr Ste 140
King of Prussia, PA 19406-2802

Phone

(215) 521-3030

NPI assigned

Oct 21, 2019

Organization subpart

No

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

Authorized official

Name

Matthew O'Malley

Title

President, Board of Managers

Phone

(610) 798-6054

Specialties & licenses 2

Addresses

Other names 1

• King of Prussia Surgery Center Doing business as

Listed as

King of Prussia Surgery Center LLCCCN 39C0001359

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 2

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

• Fka PHC, LLP

  dba The Philadelphia Hand Center, PC and Philadelphia Hand to Shoulder Ctr

  • Surgery of the Hand (Surgery) Physician
  • Philadelphia, PA
  • NPI 1487680500

  Member Of

  NPD member
• Premier Orthopaedic and Sports Medicine Associates, LTD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Wayne, PA
  • NPI 1780304287

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624492800000",
    "number": "1740823848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 PULASKI DR STE 140",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062802",
            "telephone_number": "215-521-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PULASKI DR STE 140",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062802",
            "telephone_number": "215-521-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING OF PRUSSIA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A",
        "authorized_official_last_name": "O'MALLEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT, BOARD OF MANAGERS",
        "authorized_official_telephone_number": "610-798-6054"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King of Prussia Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "King of Prussia Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• King of Prussia Chiropractic&Holistic Wellness Center LLC
• King of Prussia Dental Associates
• King of Prussia Doulas
• King of Prussia Family Eye Care P.C.
• King of Prussia Family Medicine
• Gary David Kirshner, O.D.
• Lauren Michelle Kitchen, M.A., BCBA, LBS
• Alaina Klause, LPC
• Heidi L Kleiman, LBS
• Abraham M Klein, LPC

• Ambulatory Surgical Clinic/Center in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.