Seneca PA ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

11721500 Issued in PA

Legal business name

SENECA PA ASC LLC

Doing business as

The Surgery and Laser Center

Practice address

3744 State Route 257
Seneca, PA 16346-3318

Phone

(814) 677-6700

Fax

(814) 677-6776

NPI assigned

Feb 8, 2006

Last updated

Sep 7, 2023By 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

Ms. Billie A Payne

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• The Surgery and Laser Center Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Seneca PA ASC LLCCCN 39C0001094

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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.

• Bergein Frederick Overholt, MD

  • Gastroenterology Physician
  • Knoxville, TN
  • NPI 1669448031
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1922071315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 STATE ROUTE 257",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163463318",
            "telephone_number": "814-677-6700",
            "fax_number": "814-677-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 STATE ROUTE 257",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163463318",
            "telephone_number": "814-677-6700",
            "fax_number": "814-677-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA PA ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "11721500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2238171",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01832782",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Surgery and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Schneider
• Seneca Amramp
• Seneca Cardiology
• Seneca Medical Center LLC
• Seneca Medical Center LLC (Seneca Medical Center)
• Seneca Primary Care Inc
• Amy Shambaugh, SLP
• John Shonnard, MD
• Nava Siegelmann-Danieli, M.D.
• Kristy Siembida

• Ambulatory Surgical Clinic/Center in Seneca, PA
• Providers in Seneca, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.