Willamette Spine Center Ambulatory Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WILLAMETTE SPINE CENTER AMBULATORY SURGERY LLC

Practice address

2480 Liberty St NE
Suite 120
Salem, OR 97303-6780

Phone

(503) 485-2290

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Authorized official

Name

Ms. D Kay Nemec, RN

Title

Administrator

Phone

(503) 485-2290

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Liberty Surgery Center Doing business as

Practitioners 1

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

• Michael David Freeman, DC

  • Chiropractor
  • Salem, OR
  • NPI 1558412080
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881694792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972071267",
            "telephone_number": "503-485-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LIBERTY ST NE",
            "address_2": "SUITE 120",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973036780",
            "telephone_number": "503-485-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE SPINE CENTER AMBULATORY SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEMEC",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-485-2290",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "227889",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Willamette Orthopedic Group LLC
• Willamette Orthopedic Group LLC
• Willamette Orthotics & Prosthetics LLC
• Willamette Sign Language Interpreting Service
• Willamette Sleep Solutions LLC
• Willamette Spine Center Physical Therapy & Rehabilitation, LLC
• Willamette Surgery Center LLC
• Willamette University
• Willamette Urology, PC
• Willamette Valley Endodontics, PC

• Ambulatory Surgical Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.