Newco Ambulatory Surgery Center, LLP

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

NEWCO AMBULATORY SURGERY CENTER, LLP

Practice address

4190 24TH Ave
Fort Gratiot, MI 48059-3882

Phone

(810) 989-7651

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Carol Lynn Burgett

Title

Administrator

Phone

(810) 989-7751

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeshore Surgery Center Other name

Member of 1

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

• Prime Healthcare Services-Port Huron LLC

  • Radiation Oncology Physician
  • Port Huron, MI
  • NPI 1902407844

  Member Of

  NPD member

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811944192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593882",
            "telephone_number": "810-989-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 24TH AVE",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593882",
            "telephone_number": "810-989-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWCO AMBULATORY SURGERY CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURGETT",
        "authorized_official_first_name": "CAROL LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "810-989-7751"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7238585",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeshore Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Farrukh Zaman Naqvi, M.D.
• Janet Marie Natzke
• Paeton Neil
• Neurosleep Center PLLC
• Newco Ambulatory Surgery Center, LLP
• Greta Amaris Nichols, LBASW
• Kelsey Elaine Noble
• Michael Gerard Noble, COTA MLD
• Nurtureher, PLLC
• Sandra Lynn O'Neill, LBSW

• Certified Registered Nurse Anesthetist in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.