Organization Active NPI

Comprehensive Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Clearwater, FL
National Provider Identifier
1891172078
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
COMPREHENSIVE SURGERY CENTER LLC
Practice address
407 Aurora Ave
Clearwater, FL 33765
Phone
(727) 953-8090
Fax
(727) 953-8088
NPI assigned
Apr 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Ms. Irene Mary Rademeyer, PT
Title
Administrator
Phone
(727) 953-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

407 Aurora Ave
Clearwater, FL 33765

Mailing address

1988 Gulf to Bay Blvd
Clearwater, FL 33765-3550
Phone (727) 953-8090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151021000012 FL Part B Supplier - Ambulatory Surgical Center 1557670270 Practice locations: Clearwater, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Comprehensive Surgery Center LLCCCN 10C0001599
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2099662Comprehensive Surgery Center LLC407 S Aurora Ave, Clearwater, FL 33765Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

Locations

407 S Aurora Ave
Clearwater, FL 33765
Phone (727) 314-4243

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1891172078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 GULF TO BAY BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337653550",
            "telephone_number": "727-953-8090",
            "fax_number": "727-953-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 AURORA AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33765",
            "telephone_number": "727-953-8090",
            "fax_number": "727-953-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "RADEMEYER",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-953-8090",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.