Surgicenter Group, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

005975 Issued in IN

Legal business name

SURGICENTER GROUP, LLC

Practice address

711 W Gardner Dr
Marion, IN 46952-1821

Phone

(765) 664-2000

Fax

(765) 668-6797

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Kevin T Scripture, M.D.

Title

Part Owner

Phone

(765) 966-1945

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marion Surgicenter Doing business as

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1962489393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 472",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473080472",
            "telephone_number": "765-286-8888",
            "fax_number": "765-747-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W GARDNER DR",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469521821",
            "telephone_number": "765-664-2000",
            "fax_number": "765-668-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICENTER GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "SCRIPTURE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "765-966-1945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "005975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2213214",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marion Surgicenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Clayton Suggs
• Tayleigh Miranda Sullivan, RBT-24-368486
• Naima Sultana, MD
• Philip David Suman, LISW LCSW
• Surgical Associates PC
• Sneha Sutaria
• Teresa Marie Sutton, NP
• Hana Alexis Svetlovics
• Suzanne Marie Swagger
• Shawn T Swan, M.D.

• Ambulatory Surgical Clinic/Center in Marion, IN
• Providers in Marion, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.