Piedmont Outpatient Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PIEDMONT OUTPATIENT SURGERY CENTER, LLC

Practice address

2465 Hanestown Lane
Winston-Salem, NC 27103

Phone

(336) 201-0003

Fax

(336) 464-0736

NPI assigned

Apr 22, 2011

Last updated

Mar 14, 2012By 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

Dr. Ronald B. Shealy, M.D.NPI 1073593943

Title

Medical Director

Phone

(336) 768-3361

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Listed as

Piedmont Outpatient Surgery CenterCCN 34C0001179

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

Locations

Practitioners 4

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.

• Ronald Bernard Shealy, MD

  • Otolaryngology Physician
  • Winston Salem, NC
  • NPI 1073593943
  Authorized official Same address or phone
• Stephen Andrew Harper, MD

  • Otolaryngology Physician
  • Winston Salem, NC
  • NPI 1710967070
  NPD
• Joseph Lucas Inman, M.D.

  • Otolaryngology Physician
  • Winston Salem, NC
  • NPI 1700099546
  NPD
• John Calvin Britt, MD

  • Otolaryngology Physician
  • Winston Salem, NC
  • NPI 1871573121
  NPD (past)

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1760773949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 HANESTOWN LANE",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-201-0003",
            "fax_number": "336-464-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 HANESTOWN LANE",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "27103",
            "telephone_number": "336-201-0003",
            "fax_number": "336-464-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT OUTPATIENT SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "SHEALY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "336-768-3361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piedmont Hematology-Oncology Associates, PLLC
• Piedmont Homehealth, Inc.
• Piedmont Imaging LLC (Novant Health Imaging Piedmont)
• Piedmont Imaging LLC
• Piedmont Integrative Medicine
• Piedmont Premium Care Counseling,LLC
• Piedmont Premium Care,LLC
• Piedmont Premium Care,LLC (Piedmont Premium Community Care)
• Piedmont Radiation Oncology P a
• Piedmont Sedation Associates, LLC

• Ambulatory Surgical Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.