Active NPI
Advanced Center for Surgery, LLC
- Ambulatory Surgical Clinic/Center
- Altoona, PA
National Provider Identifier
1750658092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- ADVANCED CENTER FOR SURGERY, LLC
- Practice address
- 3280 Pleasant Valley Blvd.
Altoona, PA 16602-4472 - Phone
- (814) 381-0009
- NPI assigned
- Nov 30, 2011
- Last updated
- Oct 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsay Anne Crawford
- Title
- Administrator
- Phone
- (814) 381-0009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
3280 Pleasant Valley Blvd.
Altoona, PA 16602-4472
Mailing address
3280 Pleasant Valley Blvd.
Altoona, PA 16602-4472
Phone (814) 381-0009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027295730001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120503000207 | PA | Part B Supplier - Ambulatory Surgical Center | 6608038914 | Practice locations: Altoona, PA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Advanced Center for Surgery LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2038355 | Advanced Center for Surgery, LLC | Certificate of waiver | Mar 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
3280 Pleasant Valley Blvd
Altoona, PA 16602
Phone (814) 381-0009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635292800000",
"number": "1750658092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3280 PLEASANT VALLEY BLVD.",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024472",
"telephone_number": "814-381-0009",
"fax_number": "814-381-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 PLEASANT VALLEY BLVD.",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024472",
"telephone_number": "814-381-0009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CENTER FOR SURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-30",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "LINDSAY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "814-381-0009"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027295730001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.