Waterfront Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

16601501 Issued in PA

Legal business name

WATERFRONT SURGERY CENTER LLC

Practice address

495 Waterfront Dr E
Suite 110
Homestead, PA 15120-1140

Phone

(412) 325-2174

Fax

(412) 325-2182

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Daniel S McCarthy

Title

Executive Director

Phone

(412) 325-0775

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Waterfront Surgery Center LLCCCN 39C0001138

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

Member of 1

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

• Jefferson Regional Medical Center

  • General Acute Care Hospital
  • Clairton, PA
  • NPI 1578560504

  Member Of

  NPD member

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Jefferson Regional Medical Center

  • General Acute Care Hospital
  • Clairton, PA
  • NPI 1578560504

  Member Of

  NPD member
• Jefferson Regional Medical Center

  • Psychiatric Hospital Unit
  • Pittsburgh, PA
  • NPI 1720056138

  Member Of

  NPD member

Practitioners 2

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

• Roxana F. Barad, M.D.

  • Ophthalmology Physician
  • Pittsburgh, PA
  • NPI 1689712473
  NPD (past)
• Alfonso Barbati, DO

  • Specialist
  • Clairton, PA
  • NPI 1487616132
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1881704237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 WATERFRONT DR E",
            "address_2": "SUITE 110",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201140",
            "telephone_number": "412-325-2174",
            "fax_number": "412-325-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 WATERFRONT DR E",
            "address_2": "SUITE 110",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151201140",
            "telephone_number": "412-325-2174",
            "fax_number": "412-325-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFRONT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "412-325-0775"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "16601501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS BLUE",
            "identifier": "1845",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Visionworks, Inc.
• Walgreen Co
• Nicole Walker, RN
• Michelle L Wangler, LPC
• Waterfront Anesthesia Associates, LLC
• Rosslin Watson
• Barbara Wees
• Julianna Wegner, MSW
• Michelle White
• Katie Whitney, L.P.C, N.C.C.

• Ambulatory Surgical Clinic/Center in Homestead, PA
• Providers in Homestead, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.