Northstar Surgical Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

ASC007292 Issued in TX

Legal business name

NORTHSTAR SURGICAL CENTER LP

Doing business as

NorthStar Surgical Center

Practice address

4640 N Loop 289
Lubbock, TX 79416-2423

Phone

(806) 761-4880

Fax

(806) 749-5944

NPI assigned

Jun 15, 2005

Last updated

Jan 22, 2014By 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

Mr. Clifford G Adlerz

Title

Ceo & President

Phone

(615) 234-5900

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• NorthStar Surgical Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1932104064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 N LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794162423",
            "telephone_number": "806-761-4880",
            "fax_number": "806-749-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 N LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794162423",
            "telephone_number": "806-761-4880",
            "fax_number": "806-749-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR SURGICAL CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "ADLERZ",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "615-234-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "ASC007292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "HH1557",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142949003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "49-0005111",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthStar Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Quaker Hospital, LP (TrustPoint Hospital)
• North Quaker Hospital, LP (TrustPoint Hospital)
• North Quaker Hospital, LP
• Suzanne N. Northcutt, M.D.
• Ariel Northern, LPC, LSSP
• Northwest Texas Oms, PLLC
• Lisa Noseff
• Tofoul Fawzi Nour, MD
• Lynsie L'Rae Nuckolls, DNP, FNP-C
• Kenneth Michael Nugent, MD

• Ambulatory Surgical Clinic/Center in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.