Surgery Center on Bluefield LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER ON BLUEFIELD LLC

Practice address

653 Bluefield Rd Ste D
Mooresville, NC 28117-9626

Phone

(704) 360-6470

Fax

(704) 746-0009

NPI assigned

Oct 8, 2024

Last updated

Oct 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Earl Safin

Title

Operations

Phone

(704) 878-7786

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

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

• Iredell Physician Network LLC

  dba Harmony Medical Care

  • Rural Health Clinic/Center
  • Harmony, NC
  • NPI 1497139398

  Member Of

  NPD member

Practitioners 11

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.

• Jason Barnes, MD

  • Otolaryngology Physician
  • Mooresville, NC
  • NPI 1154851079
  NPD
• Kenneth Evan Bloom, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mooresville, NC
  • NPI 1811983372
  NPD
• William John Edmiston Jr., MD

  • Interventional Pain Medicine Physician
  • Mooresville, NC
  • NPI 1053420190
  NPD
• Philip Adam Jones, DPM

  • Foot & Ankle Surgery Podiatrist
  • Statesville, NC
  • NPI 1649665464
  NPD
• Roy Sheldon Lewis, MD

  • Otolaryngology Physician
  • Mooresville, NC
  • NPI 1396728804
  NPD
• Kurt Ashley Massey, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mooresville, NC
  • NPI 1417943986
  NPD
• Tushar Raman Patel, MD

  • Specialist
  • Mooresville, NC
  • NPI 1922012103
  NPD
• Mark Alan Quist, DPM

  • Foot & Ankle Surgery Podiatrist
  • Huntersville, NC
  • NPI 1285702597
  NPD
• Shobit Rastogi, M.D.

  • Ophthalmology Physician
  • Mooresville, NC
  • NPI 1720062763
  NPD
• Thomas Brent Warren, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Mooresville, NC
  • NPI 1386715639
  NPD
• Emily Elizabeth Zulauf, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mooresville, NC
  • NPI 1265937189
  NPD

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1841019775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1828",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286871828",
            "telephone_number": "704-360-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 BLUEFIELD RD STE D",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179626",
            "telephone_number": "704-360-6470",
            "fax_number": "704-746-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER ON BLUEFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "SAFIN",
        "authorized_official_first_name": "EARL",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "704-878-7786"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elaine Marie Sunderlin, MD
• Sunrise Growth and Renewal L.L.C.
• Lauren Sunter
• Sever Catalin Surdulescu, MD
• Tamara Kaye Estes Surey, PA
• Debra Sutcliffe
• Brandi Recinda Sutton, PMHNP-BC
• Brianna Swain
• Swan's Therapeutic Services PLLC
• Michael Lee Sweeney, NBC-HWC

• Ambulatory Surgical Clinic/Center in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Ambulatory Surgical Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.