Ucsc LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

UCSC LLC

Practice address

1722 E Reelfoot Ave
Suite 1
Union City, TN 38261-6050

Phone

(731) 885-8484

NPI assigned

Feb 10, 2017

Organization subpart

No

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

Authorized official

Name

Justine B. Corday

Title

Administrator

Phone

(312) 714-3093

Specialties & licenses 1

Addresses

Other names 1

• Union City Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Union City Surgery CenterCCN 44C0001193

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Northwest TN Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northwest TN Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Union City, TN
  • NPI 1982147070
  NPD tax ID

Practitioners 2

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

• David K. Deboer, MD

  • Orthopaedic Surgery Physician
  • Nashville, TN
  • NPI 1942265400
  NPD
• Michael David Calfee, M.D.

  • Orthopaedic Surgery Physician
  • Cleveland, TN
  • NPI 1568518736
  NPD (past)

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1831637875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 E REELFOOT AVE",
            "address_2": "SUITE 1",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 E REELFOOT AVE",
            "address_2": "SUITE 1",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616050",
            "telephone_number": "731-885-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCSC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "CORDAY",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-714-3093"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union City Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tnersleep Lab of Union City
• Jay Matthew Towler, COTA
• Turner Healthcare, Inc.
• Amanda Brooke Turner, APN
• Megan Tuttle
• Union City Anesthesia Group
• Union City ASC LLC
• Union City Eye Care, P.C.
• Union City Internal Medicine PC
• Union City Nursing and Rehabilitation Center LLC

• All providers in Union City, TN
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.