Union City ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

00000102 Issued in TN

Legal business name

UNION CITY ASC LLC

Doing business as

Summit Endoscopy Center

Practice address

1109 Reelfoot Ave
Suite C
Union City, TN 38261-5856

Phone

(731) 884-0600

Fax

(731) 885-6171

NPI assigned

Jun 22, 2006

Last updated

Mar 13, 2018By 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

Hayley Maree Summers, CPPM

Title

Practice Manager

Phone

(731) 884-0600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Summit Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Listed as

Summit Endoscopy CenterCCN 44C0001077

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, and the practitioner matching its NPPES authorized official.

• Kofi W Nuako, M.D.

  • Gastroenterology Physician
  • Union City, TN
  • NPI 1104813153
  NPD

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1972549491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 REELFOOT AVE",
            "address_2": "SUITE C",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615856",
            "telephone_number": "731-884-0600",
            "fax_number": "731-885-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 REELFOOT AVE",
            "address_2": "SUITE C",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615856",
            "telephone_number": "731-884-0600",
            "fax_number": "731-885-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION CITY ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_middle_name": "MAREE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "731-884-0600",
        "authorized_official_credential": "CPPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "00000102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00211352",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Turner Healthcare, Inc.
• Amanda Brooke Turner, APN
• Megan Tuttle
• Ucsc LLC (Union City Surgery Center)
• Union City Anesthesia Group
• Union City Eye Care, P.C.
• Union City Internal Medicine PC (Union City Family Healthcare)
• Union City Nursing and Rehabilitation Center LLC
• Union City Rescare (Magnolia Place)
• Union City Residential, LLC (The Etheridge House)

• Ambulatory Surgical Clinic/Center in Union City, TN
• Providers in Union City, TN by specialty
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.