TRADITION SURGERY CENTER, LLC (NPI# 1801343496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801343496 |
| Entity Type | Organization |
| Organization Name | TRADITION SURGERY CENTER, LLC |
| Practice Address | 10080 Sw Innovation Way Ste 101 Port St Lucie FL 34987-2129 |
| Practice Telephone | 7723458700 |
| Mailing Address | 9131 Anson Way Suite 304 Raleigh NC 27615-3266 |
| Enumeration Date | 09/01/2016 |
| Last Update Date | 10/26/2017 |
| Authorized Official Telephone | 9193292882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 261QA1903X | Clinic/Center Specialization: Ambulatory Surgical | Ambulatory Health Care Facilities |
| Street Address | 10080 SW INNOVATION WAY STE 101 |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34987-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245777929 | Justin D Wasdin | Physician Assistant | 10080 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2129 | 2017-01-19 |
| 1164801130 | Konstantin Alekseyenko | Family Medicine · Adult Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2015-05-23 |
| 1831485390 | Sarah Elizabeth Anderson | Nurse Practitioner · Family | 10080 Sw Innovation Way Ste 103, Port St Lucie, FL 34987-2129 | 2011-06-23 |
| 1407365513 | Martin Memorial Physicians Corp · Mhpg Tradition Pharmacy | Pharmacy · Community/Retail Pharmacy | 10080 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2129 | 2017-09-21 |
| 1629501911 | Lisai Zhang | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2017-04-04 |
| 1356777650 | Jennifer Moody | Nurse Practitioner | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2013-09-18 |
| 1639421332 | Lori L Costa | Nurse Practitioner · Family | 10080 Sw Innovation Way Ste 102, Port St Lucie, FL 34987-2129 | 2012-10-05 |
| 1639425986 | Kathie Kowalczyk | Psychiatry & Neurology · Neurology | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2012-07-24 |
| 1740543057 | Eric Williams Owings | Student in an Organized Health Care Education/Training Program | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2012-06-21 |
| 1750672200 | Avneet Vig | Internal Medicine · Rheumatology | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987-2129 | 2011-05-02 |
| Find all providers in zip 34987-2129 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093299604 | Karen Cecilia Wong Li James | Registered Nurse | 10024 Sw Glenbrook Drive, Port Saint Lucie, FL 34987 | 2018-09-19 |
| 1134646151 | B & T Diagnostics LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 323, Port Saint Lucie, FL 34987 | 2017-08-30 |
| 1154859825 | True Path Diagnostics, LLC | Clinical Medical Laboratory | 11350 Sw Village Pkwy Ste 309, Port St Lucie, FL 34987 | 2017-05-25 |
| 1316326515 | Aleksey Alekseyenko | Family Medicine · Adult Medicine | Mhpg Primary Care @ Tradition Health Park II, 10080 Sw Innovation Way Suite 201, Port St Lucie, FL 34987 | 2015-05-21 |
| 1053658583 | Tameka Argo | Contractor | 7664 Germany Canal Road, Fort Pierce, FL 34987 | 2013-01-03 |
| 1780967976 | Mennette J Colon | Case Manager/Care Coordinator | 1970 Sw Glendale St., Port Saint Lucie, FL 34987 | 2011-09-23 |
| 1366416257 | Cynthia A Dolan | Dermatology | 10080 Sw Innovation Way Ste 301, Port St Lucie, FL 34987 | 2006-02-15 |
| 1205829074 | Andres M Reyes | Internal Medicine | 10050 Nw Innovation Way, Suite 102, Port St Lucie, FL 34987 | 2005-08-26 |
| 1538684048 | Transport With Care, LLC | Non-emergency Medical Transport (VAN) | 1850 Sw Our Ct, Port Saint Lucie, FL 34987 | 2017-08-04 |
| 1720498470 | Josue Limage | Family Medicine | 10080 Sw Innovation Way Ste 201, Port St Lucie, FL 34987 | 2014-05-03 |
| Find all providers in zip 34987 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164719209 | Surgical Specialists of St Lucie County LLC · Blue Water Surgery Center | 6830 S Us Highway 1, Port St Lucie, FL 34952-1410 | 2011-07-08 | |
| 1407812860 | The Surgical Center of The Treasure Coast, LLC | 9075 S Federal Hwy, Port St Lucie, FL 34952-3405 | 2006-04-25 | |
| 1871557652 | Port St Lucie Surgery Center Ltd | 1310 Se West Star Ave, Port St Lucie, FL 34952-7557 | 2006-04-17 | |
| 1053764779 | Surgcenter of St. Lucie, LLC | 10521 Sw Village Center Dr, Suite 104, Port St Lucie, FL 34987-1930 | 2016-07-18 | |
| 1083920151 | Hillmoor Eye Surgery Center, LLC · One Day Surgery | 1715 Se Tiffany Ave, Port St Lucie, FL 34952-7520 | 2010-08-26 | |
| 1952327538 | Treasure Coast Cosmetic Surgery Center | 1901 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5582 | 2006-07-15 | |
| 1336165091 | Hillmoor Eye Surgery Center, Inc. · One Day Surgery | 1715 Se Tiffany Ave, Port St Lucie, FL 34952-7520 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841884731 | Eye Md of Niceville Surgery LLC | 1480 Hickory St Ste 106, Niceville, FL 32578-8843 | 2021-02-22 | |
| 1427641679 | North Naples Surgery Center LLC | 4513 Executive Dr Ste 301, Naples, FL 34119-9033 | 2021-02-18 | |
| 1043803877 | Palm Beach International Surgery Center LLC | 5325 Greenwood Ave Ste 301, West Palm Beach, FL 33407-2452 | 2021-02-12 | |
| 1508455320 | Jacksonville Childrens Surgery Center LLC | 3599 University Blvd S Ste 604, Jacksonville, FL 32216-4234 | 2021-01-15 | |
| 1598360729 | Bb & B Medical Associates LLC | 13590 S Jog Rd Ste 3c, Delray Beach, FL 33446-3807 | 2020-12-04 | |
| 1154937563 | Plantation Asc, LLC | 6710 W Sunrise Blvd Ste 111, Plantation, FL 33313-6066 | 2020-09-21 | |
| 1396351102 | University Medical Service Association Inc | 13330 Usf Laurel Dr Fl 2, Tampa, FL 33612-6601 | 2020-09-17 | |
| 1437764321 | Baptist Health Surgery Center, LLC | 1228 S Pine Island Rd Ste 220, Plantation, FL 33324-4402 | 2020-09-09 | |
| 1538773890 | Asc of Trinity | 15238 Virginia Station, Odessa, FL 33556 | 2020-09-03 | |
| 1891309423 | Kingsley Endoscopy Center LLC | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 | |
| Find all providers in the same taxonomy | ||||
| City | PORT ST LUCIE |
| Zip Code | 34987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396156964 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center · Rehabilitation | 19303 N New Tradition Rd, C/O The Heritage Tradition, Sun City West, AZ 85375-3806 | 2014-05-16 |
| 1437302510 | Acupuncture of Tradition | Acupuncturist | 10801 Sw Tradition Sq, Port St Lucie, FL 34987-1934 | 2008-11-03 |
| 1801304977 | Tradition Dental, P.a. · Tradition Dental Group | Dentist · General Practice | 1973 Sw Savage Blvd Ste 205, Port St Lucie, FL 34953-2791 | 2018-01-11 |
| 1366975575 | Comfortable Care Dental Health Professionals, Pa · Tradition Parkway Dental Care | Dentist · General Practice | 10670 Sw Tradition Pkwy, Port St Lucie, FL 34987-2862 | 2017-04-05 |
| 1922494541 | Tradition Home Care LLC · Tradition Home Care LLC | In Home Supportive Care | 713 Ronie St, Suite C, Hattiesburg, MS 39401-4345 | 2015-04-09 |
| 1407208523 | Vista Physical Therapy-Tradition LLP · Vista Physical Therapy Tradition | Physical Therapist | 5555 Arapaho Rd, Dallas, TX 75248-3442 | 2016-07-13 |
| 1073965190 | Vista Physical Therapy -Tradition LLP · Vista Physical Therapy Tradition | Physical Therapist | 5855 Milton St, Dallas, TX 75206-4202 | 2016-07-13 |
| 1710934542 | Jefferson Surgery Center Pllc · Jha Ambulatory Surgery Center, LLC | Clinic/Center · Ambulatory Surgical | 1609 W 40th Ave, Jrmc Professional Center, Suite 103, Pine Bluff, AR 71603-6329 | 2006-05-27 |
| 1760627830 | Musculoskeletal Ambulatory Surgery Center, Inc. · The Surgery Center At Pointe West - East Center | Clinic/Center · Ambulatory Surgical | 1917 Worth Ct, Bradenton, FL 34211-2110 | 2008-12-03 |
| 1982783270 | Dermatology Surgery Center, LLC · Laser & Skin Surgery Center | Clinic/Center · Ambulatory Surgical | 15 Hospital Center Blvd, Ste 2, Hilton Head, SC 29926 | 2006-11-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.