CAPE CORAL SURGERY CENTER – NPI #1295772101
Clinic/Center

CAPE CORAL SURGERY CENTER is an AHC clinic located in CAPE CORAL, FL. NPPES has assigned the NPI number 1295772101 to CAPE CORAL SURGERY CENTER on May 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CAPE CORAL SURGERY CENTER” is a dba name, the actual legal business name for this organization is CAPE CORAL AMBULATORY SURGERY CENTER, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 3 years ago on Mar 01, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAPE CORAL SURGERY CENTER below.

NPI Profile for
CAPE CORAL AMBULATORY SURGERY CENTER, LLC

NPI Number
1295772101
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAPE CORAL AMBULATORY SURGERY CENTER, LLC
Doing Business As (dba): CAPE CORAL SURGERY CENTER
Primary location
2721 DEL PRADO BLVD S
SUITE 100
CAPE CORAL, FL 33904-5781
Phone: (239) 242-8010 Fax: (239) 242-8020
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JENNIFER BALDOCK
OFFICER AND AUTHORIZED OFFICIAL
Phone: (615) 234-5954
Updated
Certification Date
Mar 01, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CAPE CORAL SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherBLUE CROSS BLUE SHIELD FLFL6N1
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 FL 1245

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.