Fort Washington Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

55551500 Issued in PA

Legal business name

FORT WASHINGTON SURGERY CENTER, LLC

Practice address

467 Pennsylvania Ave Ste 108
Fort Washington, PA 19034-3420

Phone

(215) 628-4300

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Amanda Lynn Ricca

Title

Administrator

Phone

(215) 628-4300

Specialties & licenses 1

Addresses

Other names 1

• The Surgery Center at Fort Washington Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Fort Washington Surgery Center LLCCCN 39C0001058

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 1

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

• Michael Francis Cavanaugh, M.D.

  • Specialist
  • Flourtown, PA
  • NPI 1477566883
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511308800000",
    "number": "1790786218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 PENNSYLVANIA AVE STE 108",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343420",
            "telephone_number": "215-628-4300",
            "fax_number": "215-628-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 PENNSYLVANIA AVE STE 108",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343420",
            "telephone_number": "215-628-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT WASHINGTON SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2017-11-22",
        "status": "A",
        "authorized_official_last_name": "RICCA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-628-4300"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "55551500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Surgery Center at Fort Washington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie Fleishman, LPC
• Flourish Pelvic Health & Wellness
• Lisa Gable Fluehr, OTR
• Fort Washington Family & Cosmetic Dentistry
• Fort Washington Radiological Associates PC
• Katherine M Foster, LCSW
• Shamika Samera Fox
• Katherine Frame
• Michael Peter Frank, M.D.
• Ft. Washington Rehabilitation & Fitness Center, Inc.

• All providers in Fort Washington, PA
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2017; 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.