Organization Active NPI

Citrus Urology Center, Inc.

Doing business as Lecanto Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Lecanto, FL
National Provider Identifier
1821068289
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1062 Issued in FL
Legal business name
CITRUS UROLOGY CENTER, INC.
Doing business as
Lecanto Surgery Center
Practice address
3075 W Gulf to Lake Hwy
Lecanto, FL 34461-9228
Phone
(352) 527-0102
Fax
(352) 527-8863
NPI assigned
Jan 26, 2006
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Ms. Layne LowreyNPI 1053329649
Title
Administrator
Phone
(352) 527-0102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1062 FL Primary

Addresses

Primary practice location

3075 W Gulf to Lake Hwy
Lecanto, FL 34461-9228

Mailing address

3075 W Gulf to Lake Hwy
PO Box 1420
Lecanto, FL 34461-9228
Phone (352) 527-0102

Other identifiers 1

IdentifierTypeStateIssuer
079242000MedicaidFL

Other names 1

  • LECANTO SURGERY CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120501000268 FL Part B Supplier - Ambulatory Surgical Center 7517129984 Practice locations: Lecanto, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Citrus Urology Center IncCCN 10C0001291
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
10D0934459Lecanto Surgery Center3075 W Gulf to Lake Hwy, Lecanto, FL 34461Certificate of waiverDec 21, 2027

National Provider Directory

National Provider Directory

Locations

3075 W Gulf To Lake Hwy
Lecanto, FL 34461
Phone (352) 527-0102

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1821068289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 W GULF TO LAKE HWY",
            "address_2": "PO BOX 1420",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619228",
            "telephone_number": "352-527-0102",
            "fax_number": "352-527-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 W GULF TO LAKE HWY",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619228",
            "telephone_number": "352-527-0102",
            "fax_number": "352-527-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRUS UROLOGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "LOWREY",
        "authorized_official_first_name": "LAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-527-0102",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079242000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LECANTO SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lecanto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.