Mercy Surgery Center, LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MERCY SURGERY CENTER, LP

Practice address

2175 Rosaline Ave
Ste a
Redding, CA 96001-2509

Phone

(530) 225-7400

Fax

(530) 225-7405

NPI assigned

May 27, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Banister

Title

Administrator

Phone

(530) 225-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• North State Surgery Centers LP

  • Ambulatory Surgical Clinic/Center
  • Redding, CA
  • NPI 1629249172

  O20040227000228

  Same enrollment
• North State Surgery Centers, LP

  • Ambulatory Surgical Clinic/Center
  • Redding, CA
  • NPI 1700057254

  O20040227000228

  Same enrollment

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932102498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 ROSALINE AVE",
            "address_2": "STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012509",
            "telephone_number": "530-225-7400",
            "fax_number": "530-225-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 ROSALINE AVE",
            "address_2": "STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012509",
            "telephone_number": "530-225-7400",
            "fax_number": "530-225-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANISTER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-225-7400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01643F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merakey Allos
• Kelie Ann Mercier, F.N.P.
• Brian Edward Mercill, MPT
• Michelle Mercurio
• Mercy Family Health Center
• Meredith Chiropractic a Professional Corporation
• Bryan Wayne Meredith, D.C.
• Stephanie Laura Merrin
• Torrie Merryweather
• Scott Allen Mersino

• Ambulatory Surgical Clinic/Center in Redding, CA
• Providers in Redding, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• 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.