SUNERGY OUTPATIENT SURGERY CENTER-BONITA SPRINGS – NPI #1992728810
Clinic/Center

SUNERGY OUTPATIENT SURGERY CENTER-BONITA SPRINGS is an AHC clinic located in BONITA SPRINGS, FL. NPPES has assigned the NPI number 1992728810 to SUNERGY OUTPATIENT SURGERY CENTER-BONITA SPRINGS on July 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SUNERGY OUTPATIENT SURGERY CENTER-BONITA SPRINGS” is a dba name, the actual legal business name for this organization is SPECIALISTS IN UROLOGY 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 10 years ago on Apr 14, 2016. 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 SUNERGY OUTPATIENT SURGERY CENTER-BONITA SPRINGS below.

NPI Profile for
SPECIALISTS IN UROLOGY SURGERY CENTER, LLC

NPI Number
1992728810
Enumeration Date

(about 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
SPECIALISTS IN UROLOGY SURGERY CENTER, LLC
Doing Business As (dba): SUNERGY OUTPATIENT SURGERY CENTER-BONITA SPRINGS
Primary location
28930 TRAILS EDGE BOULEVARD
BONITA SPRINGS, FL 34134
Phone: (239) 231-7041 Fax: (844) 857-1822
Mailing address
Same as primary location
Organization Subpart
Yes - SUNERGY OUTPATIENT SURGERY CENTER-BONITA SPRINGS is subpart of another organization.
Authorized Official
LEA HARBOR
OFFICER
Phone: (205) 545-2572
Updated
Identifiers

Identifiers for SUNERGY OUTPATIENT SURGERY CENTER-BONITA SPRINGS

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
MEDICAIDFL076522800
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 1177

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.