Organization Active NPI

Guilford Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Guilford, CT
National Provider Identifier
1962879932
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0346 Issued in CT
Legal business name
GUILFORD SURGERY CENTER LLC
Practice address
246 Goose LN Ste 203
Guilford, CT 06437-2186
Phone
(203) 453-0416
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Mrs. Lori Woodworth
Title
Ceo
Phone
(203) 453-0416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0346 CT Primary

Addresses

Primary practice location

246 Goose LN Ste 203
Guilford, CT 06437-2186

Mailing address

246 Goose LN Ste 203
Guilford, CT 06437-2186
Phone (203) 453-0416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160816002562 CT Part B Supplier - Ambulatory Surgical Center 2466747357 Practice locations: Guilford, CT

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Guilford Surgery CenterCCN 07C0001062
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2092884Guilford Surgery Center, LLC246 Goose Lane, Suite 203, Guilford, CT 06437Certificate of waiverMar 15, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1962879932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 GOOSE LN STE 203",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372186",
            "telephone_number": "203-453-0416",
            "fax_number": "203-453-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 GOOSE LN STE 203",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372186",
            "telephone_number": "203-453-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILFORD SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2024-11-05",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "WOODWORTH",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-453-0416",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CT",
            "license": "0346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.