Huebner Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

130329 Issued in TX

Legal business name

HUEBNER AMBULATORY SURGERY CENTER, LLC

Practice address

9618 Huebner Rd
Suite 111
San Antonio, TX 78240-1660

Phone

(405) 697-2420

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Trisha Grus

Title

VP-Managed Care Contracting

Phone

(405) 697-2420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Huebner Ambulatory Surgery Center LLCCCN 45C0001624

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramiro D Cavazos, MD

  • Surgery Physician
  • San Antonio, TX
  • NPI 1619977055
  NPD

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1952852345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 HUEBNER RD STE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401775",
            "telephone_number": "210-943-0999",
            "fax_number": "210-943-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 HUEBNER RD",
            "address_2": "SUITE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401660",
            "telephone_number": "405-697-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUEBNER AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "GRUS",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "VP-MANAGED CARE CONTRACTING",
        "authorized_official_telephone_number": "405-697-2420"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "130329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melynda Norton Hudson
• Rosalinda Hudson
• Tawanna M Hudson, LCSW
• Thomas Hudson
• Timothy Craig Hudson, D.O.
• Huebner Bariatric PLLC
• Huebner Creek Surgery Center, PLLC
• Huebner Family Medicine, P.a.
• Huebner Imaging LLC
• Huebner Pediatrics

• Ambulatory Surgical Clinic/Center in San Antonio, TX
• Providers in San Antonio, 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 19, 2018; 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.