Organization Active NPI

Aestique Ambulatory Surgical Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Greensburg, PA
National Provider Identifier
1861462038
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
01611500 Issued in PA
Legal business name
AESTIQUE AMBULATORY SURGICAL CENTER, INC
Practice address
1 Aesthetic Way
Greensburg, PA 15601-9500
Phone
(724) 832-7555
Fax
(724) 832-7566
NPI assigned
Jan 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Maria Soohey
Title
Cfo
Phone
(724) 832-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 01611500 PA Primary

Addresses

Primary practice location

1 Aesthetic Way
Greensburg, PA 15601-9500

Mailing address

1 Aesthetic Way
Greensburg, PA 15601-9500
Phone (724) 832-7555

Other identifiers 1

IdentifierTypeStateIssuer
0012299800001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100421000087 PA Part B Supplier - Ambulatory Surgical Center 4688701832 Practice locations: Greensburg, PA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Aestique Ambulatory Surgical Center IncCCN 39C0001036
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1861462038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AESTHETIC WAY",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019500",
            "telephone_number": "724-832-7555",
            "fax_number": "724-832-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AESTHETIC WAY",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019500",
            "telephone_number": "724-832-7555",
            "fax_number": "724-832-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTIQUE AMBULATORY SURGICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "SOOHEY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-832-7555"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "01611500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012299800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.