Organization Active NPI

Musculoskeletal Ambulatory Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Bradenton, FL
National Provider Identifier
1760627830
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1314 Issued in FL
Legal business name
MUSCULOSKELETAL AMBULATORY SURGERY CENTER, INC.
Doing business as
The Surgery Center At Pointe West - East Center
Practice address
1917 Worth CT
Bradenton, FL 34211-2110
Phone
(941) 782-0101
NPI assigned
Dec 3, 2008
Organization subpart
Yes
Parent organization
MUSCULOSKELETAL AMBULATORY SURGERY CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Mr. Paul M Duck
Title
Ceo
Phone
(941) 792-1404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1314 FL Primary

Addresses

Primary practice location

1917 Worth CT
Bradenton, FL 34211-2110

Mailing address

6015 Pointe West Blvd
Bradenton, FL 34209-5532
Phone (941) 782-0101

Other identifiers 2

IdentifierTypeStateIssuer
075448000MedicaidFL
6AAOtherFLBCBS OF FL

Other names 1

  • The Surgery Center At Pointe West - East Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050111000122 FL Part B Supplier - Ambulatory Surgical Center 6709834385 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bradenton, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Surgery Center at Point

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

6015 Pointe West Blvd
Ste 10
Bradenton, FL 34209
Phone 94178201017002

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1760627830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 POINTE WEST BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095532",
            "telephone_number": "941-782-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 WORTH CT",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342112110",
            "telephone_number": "941-782-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCULOSKELETAL AMBULATORY SURGERY CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUSCULOSKELETAL AMBULATORY SURGERY CENTER",
        "enumeration_date": "2008-12-03",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "DUCK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-792-1404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075448000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "6AA",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Surgery Center At Pointe West - East Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.