Organization Active NPI

Muve - West Chester Ambulatory Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • West Chester, PA
National Provider Identifier
1790265999
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MUVE - WEST CHESTER AMBULATORY SURGICAL CENTER, LLC
Practice address
1230 American Blvd Ste 101
West Chester, PA 19380-4264
Phone
(913) 387-0510
NPI assigned
Aug 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Jennifer Boyd Baldock
Title
Officer and Authorized Official
Phone
(615) 234-5935

Specialties & licenses 1

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

Addresses

Primary practice location

1230 American Blvd Ste 101
West Chester, PA 19380-4264

Mailing address

1230 American Blvd Ste 101
West Chester, PA 19380-4264
Phone (484) 473-6050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191022000039 PA Part B Supplier - Ambulatory Surgical Center 8022340272 Practice locations: West Chester, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Muve West Chester Ambulatory Surgical Center LLCCCN 39C0001357
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2179403Muve West Chester Ambulatory Surgical Center, LLC1230 American Boulevard, Suite 101, West Chester, PA 19380Certificate of waiverFeb 23, 2028

National Provider Directory

National Provider Directory

Member of 1

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

Locations

1860 Blake St
Ste 210
Denver, CO 80202

1230 American Blvd
Ste 101
West Chester, PA 19380
Phone (484) 473-6050

1230 American Blvd
Ste 100
West Chester, PA 19380

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1790265999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 AMERICAN BLVD STE 101",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804264",
            "telephone_number": "484-473-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 AMERICAN BLVD STE 101",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804264",
            "telephone_number": "913-387-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUVE - WEST CHESTER AMBULATORY SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5935"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.