Seven Hills Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1240 Issued in FL

Legal business name

SEVEN HILLS SURGERY CENTER, LLC

Practice address

2010 Fleischmann Rd
Tallahassee, FL 32308-4599

Phone

(850) 552-0608

Fax

(850) 552-0925

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tony A Weaver, MDNPI 1760487433

Title

Owner

Phone

(850) 552-0608

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Seven Hills Surgery Center LLCCCN 10C0001456

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

Practitioners 8

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

• Amanda Ethredge Matthews, M.D.

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1982866638
  Medicare reassignment NPD
• Michael Mercandetti, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Venice, FL
  • NPI 1669471959
  Medicare reassignment NPD
• Tony Allen Weaver, MD

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1760487433
  NPD (past) Authorized official
• Viet Ngoc Bui, MD

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1730136904
  NPD
• Jerry Glen Ford, MD

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1679578363
  NPD (past)
• Fang Sarah Ko, MD

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1205060290
  NPD (past)
• Deanna Macy Louie, M.D.

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1386886141
  NPD (past)
• Jason J. Ross, MD

  • Ophthalmology Physician
  • Rehoboth Beach, DE
  • NPI 1295706570
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1790736502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 FLEISCHMANN RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084599",
            "telephone_number": "850-552-0608",
            "fax_number": "850-552-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 FLEISCHMANN RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084599",
            "telephone_number": "850-552-0608",
            "fax_number": "850-552-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVEN HILLS SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-552-0608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BCBS PROVIDER ID",
            "identifier": "6L6",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076139700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "0482.0002@direct.eyeassociates.nextgenshare.com",
            "affiliation": "Y",
            "affiliationName": "Seven Hills Surgery Center, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2010 Fleischmann Rd",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323084599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Serio, M.D.
• Maria Serrano Santos
• Isabel Rhoda Serrano
• Steven Louis Serventi, LMHC
• Sessaly Rose Transit Inc.
• Isaiah Sever
• Joyce Lynn Severance, OTR/L
• Tom C Sexton, DMD
• Morgan Seymore
• Seymour R. Rosen, M.D.P.a.

• Ambulatory Surgical Clinic/Center in Tallahassee, FL
• Providers in Tallahassee, 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 May 31, 2022; 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.