Center for Health Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CENTER FOR HEALTH AMBULATORY SURGERY CENTER, LLC

Practice address

8800 Route 91 North
Peoria, IL 61615

Phone

(309) 683-4720

Fax

(309) 683-4496

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Susan C Wozniak

Title

Board Member

Phone

(309) 655-2668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Center for Health Ambulatory Surgery Center LLCCCN 14C0001088

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Saint Francis Medical Center

  • Family Medicine Physician
  • Peoria, IL
  • NPI 1306890033

  Member Of

  NPD member

Locations

Practitioners 2

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

• David L Crawford, M.D.

  • Surgery Physician
  • Peoria, IL
  • NPI 1306874128
  NPD (past)
• Benjamin Ray Gerber, M.D.

  • Surgery Physician
  • Columbia, MO
  • NPI 1467748673
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1821141284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 ROUTE 91 NORTH",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61615",
            "telephone_number": "309-683-4720",
            "fax_number": "309-683-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 ROUTE 91 NORTH",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61615",
            "telephone_number": "309-683-4720",
            "fax_number": "309-683-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HEALTH AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "WOZNIAK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "309-655-2668"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Ann Cavanah
• Adrian Cavender, MD
• Jodi Lynn Cawley, LMT
• Krista Cebuhar, WHNP
• Peter Stephen Cenek, APN-CNS
• Center for Pain Management & Rehab S. C .
• Centerpoint Counseling Associates LLC
• Central Il. Hearing Aid Centers, Inc.
• Central Illinois Agency on Aging, Inc.
• Central Illinois Dermatology, S.C.

• Ambulatory Surgical Clinic/Center in Peoria, IL
• Providers in Peoria, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.