Organization Active NPI

Synergy Surgery Center. LLC

  • Surgery Physician
  • Rancho Mirage, CA
National Provider Identifier
1851809495
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SYNERGY SURGERY CENTER. LLC
Practice address
71511 Highway 111 Ste E
Rancho Mirage, CA 92270-4465
Phone
(928) 486-6004
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Kenna Morgan
Title
Nurse Manager
Phone
(928) 486-6004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X CA Primary

Addresses

Primary practice location

71511 Highway 111 Ste E
Rancho Mirage, CA 92270-4465

Mailing address

71511 Highway 111 Ste E
Rancho Mirage, CA 92270-4465

National Provider Directory

National Provider Directory

Locations

71511 Highway 111
Ste E
Rancho Mirage, CA 92270
Phone (760) 328-6575

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1851809495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71511 HIGHWAY 111 STE E",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71511 HIGHWAY 111 STE E",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704465",
            "telephone_number": "928-486-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY SURGERY CENTER. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "KENNA",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "928-486-6004"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.