Organization Active NPI

Redmond Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Redmond, OR
National Provider Identifier
1831184019
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
071571 Issued in OR
Legal business name
REDMOND SURGERY CENTER, LLC
Practice address
244 NW Kingwood Ave
Ste a
Redmond, OR 97756-1688
Phone
(541) 316-2500
Fax
(541) 316-2513
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

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

Authorized official

Name
Katherine L. Reed
Title
Authorized Official - Officer
Phone
(972) 763-3859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 071571 OR Primary

Addresses

Primary practice location

244 NW Kingwood Ave
Ste a
Redmond, OR 97756-1688

Mailing address

244 NW Kingwood Ave
Ste a
Redmond, OR 97756-1688
Phone (541) 316-2500

Other names 1

  • Redmond Surgery Center Other name

National Provider Directory

National Provider Directory

Member of 1

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

Locations

244 NW Kingwood Ave
Ste A
Redmond, OR 97756
Phone (541) 316-2500

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1831184019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 NW KINGWOOD AVE",
            "address_2": "STE A",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561688",
            "telephone_number": "541-316-2500",
            "fax_number": "541-316-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 NW KINGWOOD AVE",
            "address_2": "STE A",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561688",
            "telephone_number": "541-316-2500",
            "fax_number": "541-316-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMOND SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL - OFFICER",
        "authorized_official_telephone_number": "972-763-3859"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": "071571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redmond Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.