Upmc Leader Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

11561500 Issued in PA

Legal business name

UPMC LEADER SURGERY CENTER, LLC

Practice address

1703 Innovation Dr Ste 1100
York, PA 17408-8815

Phone

(717) 894-5640

Fax

(717) 741-5496

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Rebecca Jane Bruce

Title

Senior Director

Phone

(717) 894-5640

Specialties & licenses 1

Addresses

Other names 2

• Leader Surgery Center Former legal business name
• Leader Surgical Center, Inc Former legal business name

Listed as

Leader Surgical Center IncCCN 39C0001088

Medicare certification status

Terminated Voluntary: merger or closure, Jan 31, 2023From 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

Practitioners 3

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

• Kimberlee Mudge, MD

  • Surgery Physician
  • York, PA
  • NPI 1366425316
  NPD
• Thomas J Nicholson, MD

  • Colon & Rectal Surgery Physician
  • York, PA
  • NPI 1922081785
  NPD
• Kurt E. Ehrenfeuchter, DO

  • Anesthesiology Physician
  • Bethlehem, PA
  • NPI 1912961491
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1881662799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15118",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174057118",
            "telephone_number": "717-948-5640",
            "fax_number": "717-747-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 INNOVATION DR STE 1100",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815",
            "telephone_number": "717-894-5640",
            "fax_number": "717-741-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC LEADER SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "717-894-5640"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "11561500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leader Surgery Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Leader Surgical Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Asit P Upadhyay, D.O.
• Adam Michael Updegraff, CRNP
• Ann Marie Updegraff, CRNA
• Updegrove & Updegrove
• Furman Titus Updike Jr., MD
• Upmc Memorial
• Upmc Memorial
• Upmc Memorial
• Upmc Memorial
• Upmc Memorial

• All providers in York, PA
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.