Surgery Center on 27 LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER ON 27 LLC

Practice address

7405 US Highway 27 N
Sebring, FL 33870-1030

Phone

(863) 658-0496

NPI assigned

Apr 30, 2019

Organization subpart

No

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

Authorized official

Name

Deanna Fotheringham

Title

MGR/Authorized Official

Phone

(863) 253-7928

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Ambulatory surgical center certification: CCN 10C0001734

Legal name

SURGERY CENTER ON 27

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 8, 2023

Last certification

Nov 8, 2023

Ownership / control type

Proprietary

Facility address

7405 US Hwy 27 North
Sebring, FL 33870

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.

• Bahram Ahmadi, MD

  • Gastroenterology Physician
  • Sebring, FL
  • NPI 1003849001
  Medicare reassignment NPD

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1982268322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4759 LAKEVIEW DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 US HIGHWAY 27 N",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338701030",
            "telephone_number": "863-658-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER ON 27 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "FOTHERINGHAM",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "MGR/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "863-253-7928"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunny Autism Home Care LLC
• Sunny Hills Alf of Sebring Inc
• Sunnyvale Medical Transport LLC
• Sunshine Surgical Partners LLC
• Support Solutions Inc
• Surgical Center at Sun N Lake Anesthesia, LLC
• Surgical Center at Sun N Lake L L C
• Surgical Center of Central FL, Inc.
• Jeani Renee' Swartz, LMT
• Bonita Justina Sykes

• Ambulatory Surgical Clinic/Center in Sebring, FL
• Providers in Sebring, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.