Lakeview Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

076-442 Issued in GA

Legal business name

LAKEVIEW SURGERY CENTER, LLC

Practice address

100 Jim Mason CT
Suite B
Warner Robins, GA 31088-8965

Phone

(478) 971-4001

Fax

(478) 971-4004

NPI assigned

Oct 26, 2010

Last updated

May 11, 2015By 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

Chandresh Viradia, MDNPI 1538117015

Title

Ceo

Phone

(478) 971-4001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Lakeview Surgery Center LLCCCN 11C0001365

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

Locations

Practitioners 2

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.

• Chandresh Vithal Viradia, M.D.

  • Interventional Pain Medicine Physician
  • Warner Robins, GA
  • NPI 1538117015
  NPD Authorized official
• Bryan Peter Covert, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Warner Robins, GA
  • NPI 1023304961
  NPD (past)

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1972803898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 JIM MASON CT",
            "address_2": "SUITE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888965",
            "telephone_number": "478-971-4001",
            "fax_number": "478-971-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JIM MASON CT",
            "address_2": "SUITE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888965",
            "telephone_number": "478-971-4001",
            "fax_number": "478-971-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "VIRADIA",
        "authorized_official_first_name": "CHANDRESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-971-4001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "076-442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koch & Crossley LLC
• Terri Koedam
• Jessica L Krisel, PA
• Deserea Ladelfa, BA, PBT(ASCP)
• Mark A Lafferty I, MD
• Loc Lam, DO
• Misty Landor, NP-C
• Lauren Lane, FNP-C
• Jennene F Lanier, RRT
• Larry S Goldstein DPM PC (Warner Robins Foot and Ankle)

• Ambulatory Surgical Clinic/Center in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.