Deerfield Beach Outpatient Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DEERFIELD BEACH OUTPATIENT SURGICAL CENTER LLC

Practice address

250 SW Natura Ave
Deerfield Beach, FL 33441-3029

Phone

(954) 742-0771

NPI assigned

Sep 18, 2008

Organization subpart

No

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

Authorized official

Name

Bahram Kam Habibi, MD

Title

Medical Director

Phone

(945) 742-0771

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Listed as

Deerfield Beach Outpatient Surgical Center LLCCCN 10C0001558

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1861641508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SW NATURA AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SW NATURA AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413029",
            "telephone_number": "954-742-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERFIELD BEACH OUTPATIENT SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "HABIBI",
        "authorized_official_first_name": "BAHRAM",
        "authorized_official_middle_name": "KAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "945-742-0771",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.