Peninsula Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PENINSULA SURGERY CENTER LLC

Doing business as

Peninsula Surgery Center

Practice address

12000 Warwick Blvd
Newport News, VA 23601-2364

Phone

(757) 594-1717

Fax

(757) 594-1718

NPI assigned

Jul 18, 2006

Last updated

Oct 12, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

PENINSULA SURGERY CENTER LLCAs reported in NPPES

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

Authorized official

Name

William B Downey

Title

President

Phone

(757) 594-4006

Specialties & licenses 1

Addresses

Other names 1

• Peninsula Surgery Center Doing business as

Part of

Peninsula Surgery Center LLC

Member of 1

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

• Riverside Hospital, Inc

  • Community/Retail Pharmacy
  • Newport News, VA
  • NPI 1578999009

  Member Of

  NPD member

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1871511758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD",
            "address_2": "SUITE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-594-4006",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 WARWICK BLVD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236012364",
            "telephone_number": "757-594-1717",
            "fax_number": "757-594-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENINSULA SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENINSULA SURGERY CENTER LLC",
        "enumeration_date": "2006-07-18",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "DOWNEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-594-4006"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peninsula Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peninsula Pediatrics LTD
• Peninsula Pharmacy Services
• Peninsula Pharmacy Services LLC
• Peninsula Pulmonary Associates PC
• Peninsula Radiological Associates Limited
• Peninsula Therapy Center, PLC
• Peninsula Williamsburg Cardiology Assoc
• Courtney Brooke Penn, NP
• Patrice Pennyfeather, NP
• Penuel LLC

• Ambulatory Surgical Clinic/Center in Newport News, VA
• Providers in Newport News, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.