Merritt Island ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

1249 Issued in FL

Legal business name

MERRITT ISLAND ASC LLC

Doing business as

Courtenay Same Day Surgery Center

Practice address

2400 N Courtenay Pkwy
Suite 2
Merritt Island, FL 32953-4127

Phone

(321) 454-4007

Fax

(321) 576-0257

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Donna M. Scroggins

Title

Manager

Phone

(561) 630-3277

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Courtenay Same Day Surgery Center Doing business as

Member of 1

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

• Jayesh V. Patel DO PA

  • Medical Specialty Clinic/Center
  • Titusville, FL
  • NPI 1629347265

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1912952144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N COURTENAY PKWY",
            "address_2": "SUITE 2",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534127",
            "telephone_number": "321-454-4007",
            "fax_number": "321-576-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N COURTENAY PKWY",
            "address_2": "SUITE 2",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534127",
            "telephone_number": "321-454-4007",
            "fax_number": "321-576-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT ISLAND ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "SCROGGINS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-630-3277",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ASC LICENSE",
            "identifier": "1249",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Courtenay Same Day Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amado Jose Mendoza, P.T.
• Josefina Mendoza, P.T.
• Meridian Teleradiology, Inc.
• Merit Medical Care LLC
• John Andrew Merriam, PA-S
• Merritt Island Chiropractic, LLC
• Merritt Island Conscious Sedation
• Merritt Island Foot & Ankle Inc
• Merritt Island Health Care Associates LLC (Island Health and Rehabilitation Center)
• Merritt Island Outpatient Surgery Center, LLC

• Ambulatory Surgical Clinic/Center in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.