EAST WEST SURGERY CENTER LP – NPI #1366444929
Clinic/Center

EAST WEST SURGERY CENTER LP is an AHC clinic located in AUSTELL, GA. NPPES has assigned the NPI number 1366444929 to EAST WEST SURGERY CENTER LP on August 12, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on Sep 19, 2024. 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 EAST WEST SURGERY CENTER LP below.

NPI Profile for
EAST WEST SURGERY CENTER LP

NPI Number
1366444929
Enumeration Date

(about 21 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
EAST WEST SURGERY CENTER LP
Primary location
2041 MESA VALLEY WAY
STE 125
AUSTELL, GA 30106-6828
Phone: (678) 309-8100 Fax: (678) 309-8101
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
COLLIN LEMAISTRE
OFFICER / AUTHORIZED OFFICIAL
Phone: (214) 213-0732
Updated
Certification Date
Sep 19, 2024

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 EAST WEST SURGERY CENTER LP

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.

See identifiers
DescriptionIssuerStateIdentifier
otherAETNA H/POSGA2377093
otherAETNA PPOGA7467086
otherBLUE CROSSGA51795413002
otherDEPT OF LABORGA166-510-500
otherMEDICAID WELLCAREGA327221
otherRR MEDICAREGA490005006
otherUNITED HEALTHCAREGA68-00053
medicaidGA00897047A
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)
GA 033202

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service
Endpoint type
CONNECT URL
Endpoint Description
2.16.840.1.113883.3.667.2
Content Type
Affiliation
Y
Endpoint Location
100 N 6TH ST STE 900A,
MINNEAPOLIS, MN 77025-1669