St. Lucie Surgical Center, P.a.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1107 Issued in FL

Legal business name

ST. LUCIE SURGICAL CENTER, P.A.

Practice address

1300 N Lawnwood Cir
Fort Pierce, FL 34950-4884

Phone

(772) 429-5201

Fax

(772) 429-5204

NPI assigned

Dec 16, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Anjanaya Prasad Korlipara, M.D.

Title

President

Phone

(772) 429-5201

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Joseph Joseph Katta, MD

  • Gastroenterology Physician
  • Fort Pierce, FL
  • NPI 1508892563
  NPD (past)
• Anjanaya Prasad Rao Korlipara, M.D.

  • Specialist
  • Fort Pierce, FL
  • NPI 1982776142
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1790761393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504884",
            "telephone_number": "772-429-5201",
            "fax_number": "772-429-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504884",
            "telephone_number": "772-429-5201",
            "fax_number": "772-429-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUCIE SURGICAL CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "KORLIPARA",
        "authorized_official_first_name": "ANJANAYA",
        "authorized_official_middle_name": "PRASAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-429-5201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070735000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Lucie Optical West, Inc
• Myrnise St. Hilaire, RN
• St. Lucie County Health Access Network, Inc. Dba/ Hands
• St. Lucie Injury and Health, LLC
• St. Lucie Injury Center Inc.
• St. Mary and St. Anthony LLC
• Tyisha Kenshawna St. Surin
• Hristos Stamatopoulos, PA-C
• Tasha Andrea Stanford
• Claudia Marie Stangl, DMD

• Ambulatory Surgical Clinic/Center in Fort Pierce, FL
• Providers in Fort Pierce, 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 Feb 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.