Active NPI
Atlantis Outpatient Center
- Ambulatory Surgical Clinic/Center
- Lake Worth, FL
National Provider Identifier
1912930991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 1209
- Legal business name
- ATLANTIS OUTPATIENT CENTER
- Practice address
- 5645 S Military TRL
Lake Worth, FL 33463-6978 - Phone
- (561) 964-3966
- Fax
- (561) 964-3995
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Seth S. Steinberg, M.D.
- Title
- Cfo
- Phone
- (561) 964-3966
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 1209 | FL | Primary |
Addresses
Primary practice location
5645 S Military TRL
Lake Worth, FL 33463-6978
Mailing address
5645 S Military TRL
Lake Worth, FL 33463-6978
Phone (561) 964-3966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041116000339 | FL | Part B Supplier - Ambulatory Surgical Center | 8628032018 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lake Worth, FL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ambulatory Surgical Clinic/Center
- Lake Worth, FL
- NPI 1558564344
O20041116000339
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912930991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 S MILITARY TRL",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334636978",
"telephone_number": "561-964-3966",
"fax_number": "561-964-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 S MILITARY TRL",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334636978",
"telephone_number": "561-964-3966",
"fax_number": "561-964-3995"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIS OUTPATIENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STEINBERG",
"authorized_official_first_name": "SETH",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "561-964-3966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "FL",
"license": "1209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.