Northwest TN Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NORTHWEST TN SURGERY CENTER, LLC

Practice address

1722 E Reelfoot Ave
Suite 104
Union City, TN 38261-6050

Phone

(731) 885-6300

Fax

(615) 620-9301

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Michael D Calfee, M.D.

Title

Ceo

Phone

(731) 885-6300

Specialties & licenses 1

Addresses

Other names 1

• Union City Surgery Center Doing business as

Tax ID family

Northwest TN Surgery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ucsc LLC

  • Ambulatory Surgical Clinic/Center
  • Union City, TN
  • NPI 1831637875
  NPD tax ID

Locations

Practitioners 1

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

• David K. Deboer, MD

  • Orthopaedic Surgery Physician
  • Nashville, TN
  • NPI 1942265400
  NPD

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1982147070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 E REELFOOT AVE",
            "address_2": "SUITE 104",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616050",
            "telephone_number": "731-885-6300",
            "fax_number": "615-620-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 E REELFOOT AVE",
            "address_2": "SUITE 104",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382616050",
            "telephone_number": "731-885-6300",
            "fax_number": "615-620-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST TN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "CALFEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-885-6300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union City Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaleigh Newlin, LPN
• Paul B. Nieves, DO
• Northwest Commuity Services Agency
• Northwest Tennessee Cardiology Clinic, P. C.
• Northwest Tennessee Foot Clinic, PLLC
• Kofi W Nuako, M.D.
• Nwtsc,LLC
• Obion County Schools
• Michael Chad Odle, F.N.P.
• Miles Christian Odle, PA-C

• All providers in Union City, TN
• Ambulatory Surgical Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.