Spring Ridge Surgical Specialists

LBN: Wyomissing Surgical Clinic, Ltd.
Spring Ridge Surgical Specialists is an health care organization with primary practice located at 2758 Century Blvd Suite 1, Wyomissing PA 19610-3345. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Wyomissing Surgical Clinic, Ltd. can be contacted via phone (610) 375-0500, or through Brown, Michael T. via phone (610) 375-0500.

Contact Information

Primary practice address
2758 Century Blvd Suite 1 Wyomissing PA 19610-3345
Phone: (610) 375-0500
Fax: (610) 373-0375
Website:
Map and Directions
Authorized official contact:
Name: Brown, Michael T. Doctor of Medicine (MD)
Phone: (610) 375-0500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD042962L Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X MD058074L Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X OS009265L Pennsylvania
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X MD042962L Pennsylvania

Profile Details

NPI number 1033144217
LBN Legal business name Wyomissing Surgical Clinic, Ltd.
DBA Doing business as Spring Ridge Surgical Specialists
Authorized official Brown, Michael T. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2006
Last updated Feb 2nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033144217 NPPES
Pennsylvania Other 02325900 KEYSTONE HEALTH PLAN CENT
Pennsylvania Other 02325900 KEYSTONE HEALTH PLAN CENT
Pennsylvania Other 02325900 KEYSTONE HEALTH PLAN CENT
Pennsylvania Other 0551015 KEYSTONE HEALTH PLAN CENT
Pennsylvania MEDICAID 06562410001 KEYSTONE HEALTH PLAN CENT
Pennsylvania Other 2140998000 KEYSTONE HEALTH PLAN CENT
Pennsylvania Other WY1455297 KEYSTONE HEALTH PLAN CENT

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