Summerlin Bend Surgery Center LLP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUMMERLIN BEND SURGERY CENTER LLP

Practice address

5238 Mason Corbin CT
Ste 101
Ft Myers, FL 33907-7738

Phone

(239) 936-9700

Fax

(239) 936-9707

NPI assigned

Nov 21, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Lisa L Kelley, RN MBA

Title

Administrator

Phone

(239) 936-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adult & Childrens Surgery Center of Southwest Florida Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Adult and Childrens Surgery Center of SW FLCCN 10C0001340

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy A Schwartz, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Fort Myers, FL
  • NPI 1467455683
  NPD

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340582400000",
    "number": "1770566192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5238 MASON CORBIN CT",
            "address_2": "STE 101",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339077738",
            "telephone_number": "239-936-9700",
            "fax_number": "239-936-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 MASON CORBIN CT",
            "address_2": "STE 101",
            "city": "FT MYERS",
            "state": "FL",
            "postal_code": "339077738",
            "telephone_number": "239-936-9700",
            "fax_number": "239-936-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERLIN BEND SURGERY CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2012-06-25",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-936-9700",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070785600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult & Childrens Surgery Center of Southwest Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Sullivan
• Sarah Sullivan
• Shahid Sultan, M.D.
• Emily Ann Summa, OTR/L
• Summerlin Anesthesia, Inc.
• Summerlin Ciropractic, P.a.
• Summerlin Imaging Center LLC
• William Summey, DDS
• Kimberly Sumner
• Stephanie Sump

• Ambulatory Surgical Clinic/Center in Ft Myers, FL
• Providers in Ft Myers, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.