Organization Active NPI

Atlantis Outpatient Center

  • Ambulatory Surgical Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1912930991
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1209 Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.