Metro Specialty Surgery Center, LLC

Key facts

NPI

1902134372

Entity type

Organization (NPI type 2)

Primary specialty

Ambulatory Surgical Clinic/Center 261QA1903X

Legal business name

METRO SPECIALTY SURGERY CENTER, LLC

Practice address

200 Missouri Ave
Building 18
Jeffersonville, IN 47130-3061

Phone

(205) 266-0283

Fax

(502) 742-2509

NPI assigned

Nov 24, 2009

Organization subpart

No

Authorized official

Name

Christopher Hartshorn

Title

Officer/Authorized Official

Phone

(314) 800-2017

Member of 2

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

• Baylor University Medical Center General Acute Care Hospital · Dallas, TX · NPI 1447250253
  NPD member Member Of
• VHS San Antonio Partners LLC Psychiatric Hospital Unit · San Antonio, TX · NPI 1487633509
  NPD member Member Of

Medicare Care Compare: Ambulatory surgical center

Listed as

Metro Specialty Surgery Center LLC CCN 15C0001174

Medicare certification status

Active (Provider of Services file)

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IN

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 13, 2024.

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1902134372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MISSOURI AVENUE",
            "address_2": "BUILDING 18",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303061",
            "telephone_number": "205-266-0283",
            "fax_number": "502-742-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MISSOURI AVE",
            "address_2": "BUILDING 18",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303061",
            "telephone_number": "205-266-0283",
            "fax_number": "502-742-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO SPECIALTY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "HARTSHORN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "314-800-2017"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeffersonville, IN

• Meijer Stores Limited Partnership
• Carolyn Nickole Meiman, MSSW
• Cynthia Melton, RBT
• Mes Counseling LLC
• Metro Anesthesia Consultants, LLC
• Melissa Metzelfeld, ATC, PA-C
• Julie Ann Metzger, LCSW, LMFT
• Michael G. Cassaro, MD, PSC
• Caitlyn-Nicole Michels
• Melinda Raquel Mickelsen, MS, ORT/L

All providers in Jeffersonville, IN · Ambulatory Surgical Clinic/Center in Indiana