Center for Surgical Excellence LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OH709 Issued in VA

Legal business name

CENTER FOR SURGICAL EXCELLENCE LLC

Practice address

2107 Rosalind Ave SW
Roanoke, VA 24014-1717

Phone

(540) 224-5135

NPI assigned

Jun 10, 2006

Last updated

Aug 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Vaughan

Title

VP

Phone

(540) 224-5137

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

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

• Carilion Medical Center

  • Rehabilitation Hospital
  • Roanoke, VA
  • NPI 1780660233

  Member Of

  NPD member

Practitioners 5

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.

• Firdaus Dastoor, MD

  • Gastroenterology Physician
  • Salem, VA
  • NPI 1285605030
  NPD (past)
• Kevin R Dye, MD

  • Gastroenterology Physician
  • Roanoke, VA
  • NPI 1295720191
  NPD (past)
• Naiyer Imam, MD

  • Diagnostic Radiology Physician
  • Roanoke, VA
  • NPI 1992768147

  Single Specialty

  NPD (past)
• John M Mathis, MD

  • Diagnostic Radiology Physician
  • Roanoke, VA
  • NPI 1336185107
  NPD (past)
• Robert F Obrien, MD

  • Diagnostic Radiology Physician
  • Roanoke, VA
  • NPI 1265476659
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1902847635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40032",
            "address_2": "SUITE 807",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240220032",
            "telephone_number": "540-224-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 ROSALIND AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141717",
            "telephone_number": "540-224-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SURGICAL EXCELLENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "VAUGHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "540-224-5137"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "OH709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902847635",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Center for Care and Resiliency, PLLC
• Center for Rehabilitation & Development, Inc.
• Center for Rehabilitation & Development, Inc.
• Center for Rehabilitation & Development, Inc.
• Center for Rehabilitation & Development, Inc.
• Centerwell Certified Healthcare Corp. (CenterWell Home Health)
• Centra Health, Inc. Community Based Mental Health Programs
• Angelina Ailda Cerimele
• Joshua Cerle, OTR/L
• Rylie Carter Cerle

• Ambulatory Surgical Clinic/Center in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.