Meridian Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008080 Issued in TX

Legal business name

MERIDIAN SURGERY CENTER, LLC

Practice address

4220 Bull Creek Rd
Austin, TX 78731-6026

Phone

(512) 617-7500

Fax

(512) 323-9382

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Eugene Tjelmeland, M.D.

Title

Ceo

Phone

(512) 617-7505

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1821182965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 BULL CREEK RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316026",
            "telephone_number": "512-617-7500",
            "fax_number": "512-323-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 BULL CREEK RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316026",
            "telephone_number": "512-617-7500",
            "fax_number": "512-323-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "TJELMELAND",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-617-7505",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Meredith, RN
• Merida Home Health of Austin, LLC
• Merida Hospice of Austin, L.L.C.
• Julie Merida
• Meridian Preferred Network, LLC
• Anwar Merie, MD
• Laura Ann Meritt, MD
• Morghan Daniel Meriwether
• Hannah Merkel
• Karen Merkel, FNP-C

• Ambulatory Surgical Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.