Organization Active NPI

KVH Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Naples, FL
National Provider Identifier
1902191448
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
ME 84935 Issued in FL
Legal business name
KVH SURGERY CENTER, LLC
Practice address
3699 Airport Pulling Rd N
Naples, FL 34105-8516
Phone
(239) 262-5662
Fax
(239) 244-8278
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Dr. Kent Victor Hasen, M.D.
Title
Owner
Phone
(239) 262-5662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X ME 84935 FL Primary

Addresses

Primary practice location

3699 Airport Pulling Rd N
Naples, FL 34105-8516

Mailing address

3699 Airport Pulling Rd N
Naples, FL 34105-8516
Phone (239) 262-5662

Other names 1

  • Aesthetic Plastic Surgery &Med Spa of Naples Doing business as

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
10D2112528Aesthetic Plastic Surgery and Med Spa of Naples3699 Airport Pulling Rd N, Naples, FL 34105Certificate of waiverMay 1, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1902191448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 AIRPORT PULLING RD N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341058516",
            "telephone_number": "239-262-5662",
            "fax_number": "239-244-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3699 AIRPORT PULLING RD N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341058516",
            "telephone_number": "239-262-5662",
            "fax_number": "239-244-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KVH SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "HASEN",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-262-5662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "ME 84935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Plastic Surgery &Med Spa of Naples",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.