Minimally Invasive Surgicenter of Delray LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MINIMALLY INVASIVE SURGICENTER OF DELRAY LLC

Practice address

6646 Atlantic Ave Ste 200
Delray Beach, FL 33446-1627

Phone

(561) 774-2646

NPI assigned

Oct 4, 2022

Last updated

Sep 6, 2024By 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

Collin Lemaistre

Title

Officer/Authorized Official

Phone

(214) 213-0732

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member of 1

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

• VHS San Antonio Partners LLC

  dba Baptist Health System

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

Locations

Practitioners 8

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.

• Ola K Culbertson, DO

  • Anesthesiology Physician
  • Palm Beach Gardens, FL
  • NPI 1861728727
  Medicare reassignment NPD
• Donald Keusch, MD

  • Anesthesiology Physician
  • Delray Beach, FL
  • NPI 1114985850
  Medicare reassignment NPD
• Richard A Kushnick, MD

  • Anesthesiology Physician
  • Oakland Park, FL
  • NPI 1144285974
  Medicare reassignment NPD
• Daniel Paul Loren, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Maitland, FL
  • NPI 1285955633
  Medicare reassignment NPD
• Larisa Tsipis, MD

  • Anesthesiology Physician
  • Jupiter, FL
  • NPI 1346216884
  Medicare reassignment NPD
• Alexander Zaslavsky, MD

  • Anesthesiology Physician
  • West Palm Beach, FL
  • NPI 1245474568
  Medicare reassignment NPD
• Joseph Grunfeld

  • Anesthesiology Physician
  • Forest Hills, NY
  • NPI 1326508359

  FL

  Medicare reassignment NPD
• Moshe Eliezer Hirth, M.D.

  • Gastroenterology Physician
  • Delray Beach, FL
  • NPI 1740374677
  NPD

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1912622747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6646 ATLANTIC AVE STE 200",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461627",
            "telephone_number": "561-774-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6646 ATLANTIC AVE STE 200",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334461627",
            "telephone_number": "561-774-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE SURGICENTER OF DELRAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "LEMAISTRE",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-213-0732"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "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"
        }
    ],
    "other_names": []
}

• Mindwealth Institute LLC
• Mindy R Appel LCSW LLC
• Minimally Invasive Colon and Rectal Surgery of South Florida PLLC
• Minimally Invasive Surgical Associates of South Florida PLLC
• Minimally Invasive Surgicenter LLC
• Ryan Mirrione, LMHC
• Colleen G Mishler, DMD
• Shannon M Mitchell, APRN
• Jamie Blythe Mitnick, PA
• Mni Medical Services, PLLC

• Anesthesiology Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.