Lebanon Outpatient Surgical Center L.P.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

05781500 Issued in PA

Legal business name

LEBANON OUTPATIENT SURGICAL CENTER L.P.

Practice address

830 Tuck St
Lebanon, PA 17042-7477

Phone

(717) 228-1620

Fax

(717) 228-1642

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Anita G. Fuhrman, RN,BS,CASC

Title

Director

Phone

(717) 228-1620

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992768048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 TUCK ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427477",
            "telephone_number": "717-228-1620",
            "fax_number": "717-228-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 TUCK ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427477",
            "telephone_number": "717-228-1620",
            "fax_number": "717-228-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON OUTPATIENT SURGICAL CENTER L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUHRMAN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-228-1620",
        "authorized_official_credential": "RN,BS,CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "05781500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICAHEALTH ASSU",
            "identifier": "718200",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001449984001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1519405",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "390708",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "501572",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1600",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lebanon OB GYN Associates
• Lebanon Oncology & Hematology Assoc.
• Lebanon Ophthalmic Associates
• Lebanon Oral Surgery Group PLLC
• Lebanon Orthopaedic Associates
• Lebanon Pain Relief Center PC
• Lebanon Pathology Associates
• Lebanon Pediatric Associates
• Lebanon Plastic Surgery Associates P C
• Lebanon School District

• Ambulatory Surgical Clinic/Center in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.