SENTARA OBICI AMBULATORY SURGERY, LLC – NPI #1811101439
Clinic/Center

SENTARA OBICI AMBULATORY SURGERY, LLC is an AHC clinic located in SUFFOLK, VA. NPPES has assigned the NPI number 1811101439 to SENTARA OBICI AMBULATORY SURGERY, LLC on May 10, 2007. 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 previously updated about 18 years ago on Apr 22, 2008. 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 SENTARA OBICI AMBULATORY SURGERY, LLC below.

NPI Profile for
SENTARA OBICI AMBULATORY SURGERY, LLC

NPI Number
1811101439
Enumeration Date

(more than 19 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
SENTARA OBICI AMBULATORY SURGERY, LLC
Primary location
2750 GODWIN BLVD
SUFFOLK, VA 23434-8151
Phone: (757) 983-2000 Fax:
Mailing address
2750 GODWIN BLVD.
SUFFOLK, VA 23434-8151
Phone: (757) 983-2000 Fax: (757) 983-2001
Organization Subpart
No
Authorized Official
DONNA HERTZLER
ADMINISTRATOR
Phone: (757) 983-2009
Updated
Identifiers

Identifiers for SENTARA OBICI AMBULATORY SURGERY, LLC

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
MEDICAIDVA1811101439
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)

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.