CY 2012 ASC Provider List
Transcription
CY 2012 ASC Provider List
Resources from SMA CY 2012 ASC Provider List NPI 1003001967 1003004482 1003015843 1003017351 1003036310 1003058744 1003062274 1003079187 1003083551 1003138736 1003800798 1003802950 1003807835 1003812686 1003813221 1003814229 1003815242 1003816307 1003824434 1003835265 1003841511 1003842527 1003842626 1003847500 1003853136 1003855594 1003858721 1003860917 1003861998 PROVIDER NAME ADDRESS ROXBURY CLINIC AND SURGERY CENTER INC 465 N ROXBURY DR, SUITE 1001 SUMMIT AMBULATORY SURGICAL CENTER, LLC 120 SISTER PIERRE DR, SUITE 102 NORTHBAY PHYSICIAN'S SURGERY CENTER, L.L.C. 1006 NUT TREE ROAD, CARLSBAD SURGERY CENTER, LLC 6121 PASEO DEL NORTE, SUITE 100 MIDWEST ENDOSCOPY CENTER LLC 1243 RICKERT DR, YORK COUNTY ENDOSCOPY CENTER LLC 164 GLENWOOD DRIVE, ADVANCED SURGICAL CARE OF BATON ROUGE,LLC 7310 PERKINS ROAD, WOOSTER AMBULATORY SURGERY CENTER 3373 COMMERCE PARKWAY, SUITE 1 DHEW INDIAN HEALTH SERVICE HEALTH SERVICES MENTAL 4212HEALTH NORTH 16TH STREET, NEWPORT SURGICAL PARTNERS LLC 1901 NEWPORT BLVD, STE 120 SURGERY CENTER OF MIDWEST CITY 8121 NATIONAL AVE, SUITE 108 MINNESOTA EYE INSTITUTE SURGERY CENTER 3401 S BROADWAY, LAKEVIEW SURGERY CENTER LC 1750 60TH STREET, FLORIDA COASTAL SURGERY CENTER 801 ANCHOR RODE DR, STE 100 UNIVERSITY SURGERY CENTER, LTD 7251 UNIVERSITY BLVD, SUITE 100 HARRY B. MATOSSIAN, M.D. ENDOSCOPY CENTER 234 HOSPITAL DR, DOTHAN SURGERY CENTER, LLC 1450 ROSS CLARK CIR, SUITE 4 SAGAMORE SURGICAL SERVICES, INC. 2320 CONCORD RD, STE B NORTHRIDGE FACIAL PLASTIC SURGERY MEDICAL GROUP 18350 ROSCOE BLVD, #318A EAST TEXAS CARDIOVASCULAR LABS LLC 1303 N MOUND ST, AUGUSTA AESTHETIC SURGERY 2258 WRIGHTSBORO ROAD SUITE 180, SUMMIT SURGERY CENTER, LLC 7015 HWY 190 E SERV RD, 101B AMBULATORY CENTER FOR ENDOSCOPY, LLC 7600 RIVER RD, 4TH FLOOR WESTSIDE OUTPATIENT CENTER, LLC 460 N STATE ROAD 7, SILVER SPRING OPHTHALMOLOGY, LLC 8630 FENTON ST, SUITE 800 OHIO EYE ASSOCIATES, INC. 466 S TRIMBLE RD, PIEDMONT ENDOSCOPY CENTER, INC. 1901 S HAWTHORNE RD, SUITE 308 SURGERY CENTER OF PINEHURST, LLC 10 FIRST VILLAGE DRIVE, PHYSICIANS SURGERY CENTER OF CHATTANOOGA, LLC924 SPRING CREEK ROAD, SMA Informatics Confidential CITY ST ZIP BEVERLY HILLS TOWSON VACAVILLE CARLSBAD NAPERVILLE ROCK HILL BATON ROUGE WOOSTER PHOENIX COSTA MESA OKLAHOMA CITY ALEXANDRIA WEST DES MOINES NAPLES WINTER PARK UKIAH DOTHAN LAFAYETTE NORTHRIDGE NACOGDOCHES AUGUSTA COVINGTON NORTH BERGEN ROYAL PALM BEACH SILVER SPRING MANSFIELD WINSTON-SALEM PINEHURST CHATTANOOGA CA MD CA CA IL SC LA OH AZ CA OK MN IA FL FL CA AL IN CA TX GA LA NJ FL MD OH NC NC TN 90210 21204 95687 92011 60540 29732 70808 44691 85016 92627 73110 56308 50266 34103 32792 95482 36301 47909 91325 75961 30904 70433 07047 33411 20910 44906 27103 28374 37412 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 1 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1003870825 1003871104 1003875873 1003887225 1003887845 1003888595 1003888710 1003889346 1003889379 1003889395 1003894585 1003895152 1003897448 1003899055 1003909789 1003912957 1003935354 1003944125 1003965328 1003976929 1003978115 1003987868 1003992090 1003993965 1003995309 1013011162 1013021682 1013042456 1013048461 PROVIDER NAME ADDRESS PINELLAS SURGERY CENTER, LTD 4650 4TH ST N, MEMPHIS SURGERY CENTER LTD 1044 CRESTHAVEN RD, WILDCREEK SURGERY CENTER 2285 GREEN VISTA DR, CENTRAL TEXAS ENDOSCOPY CENTER LLC 2206 E. VILLA MARIA, AUSTIN ENDOSCOPY CENTER II, LP 4310 JAMES CASEY ST, 4B AMSURG LOUISVILLE GI LLC 1400 POPLAR LEVEL RD, SUITE 2 DIGESTIVE ENDOSCOPY CENTER LLC 999 BRUBAKER DRIVE, SUITE 3 ENDOSCOPY GROUP LLC 4810 N DAVIS HWY, THE WALDORF ENDOSCOPY ASC, LLC 11340 PEMBROOKE SQ, SUITE 202 LAS VEGAS OPHTHALMOLOGY ASC LLC 2575 LINDELL RD, ABRAHAM F SYRQUIN MD A PROFESSIONAL ASSOCIATION 517 N CARRIER PKWY, SUITE A HOUMA SURGI-CENTER, INC & UROLOGY CLINIC 1020 SCHOOL ST, FOOT & ANKLE SURGERY CENTER LLC 8651 TOWNSHIP LINE ROAD, MEMORIAL ENDOSCOPY CENTER, LP 1233 CAMPBELL RD, OREGON TRAIL EYE SURGERY CENTER, INC 329 WEST 40TH STREET, CROSSROADS PODIATRIC SURGERY CENTER, L.L.C. 20 CROSSROADS DR, SUITE 15 MIFFLIN COUNTY COMMUNITY SURGICAL CENTER 311 4TH ST, VAIL VALLEY SURGERY CENTER 181 W MEADOW DR # 3R, PACIFIC HEIGHTS SURGERY CENTER LP 3000 CALIFORNIA ST, 2ND FLOOR THE ORTHOPAEDIC SURGERY CENTER LLC W238N1610 BUSSE ROAD, SURGERY CENTER OF GARLAND, LLC 12610 E NORTHWEST HIGHWAY, TRI-CITIES DIGESTIVE HEALTH CENTER, P.S. 780 SWIFT BOULEVARD, SUITE 280 ADVANCED GASTROENTEROLOGY, PLLC 2415 NE 134TH ST, SUITE 205 EYE CONSULTANTS OF ATLANTA PIEDMONT 3193 HOWELL MILL RD NW, SUITE 100 LRGHEALTHCARE 14 MAPLE ST, BAY AREA ENDOSCOPY & SURGERY CENTER 5771 49 STREET NORTH, PHOENIX EYE SURGICAL CENTER LLC 5133 NORTH CENTRAL AVENUE, SUITE 100 JOSEPH J. MORAVEC, M.D., INC. 1130 CONGRESS AVE, GASTROENTEROLOGY DIAGNOSTIC CENTER 880 SO ATLANTIC BLVD, SUITE G 10 SMA Informatics Confidential CITY ST PETERSBURG MEMPHIS SPARKS BRYAN AUSTIN LOUISVILLE KETTERING PENSACOLA WALDORF LAS VEGAS GRAND PRAIRIE HOUMA INDIANAPOLIS HOUSTON SCOTTSBLUFF OWINGS MILLS LEWISTOWN VAIL SAN FRANCISCO WAUKESHA DALLAS RICHLAND VANCOUVER ATLANTA GILFORD ST PETERSBURG PHOENIX CINCINNATI MONTEREY PARK SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 2 ST ZIP FL TN NV TX TX KY OH FL MD NV TX LA IN TX NE MD PA CO CA WI TX WA WA GA NH FL AZ OH CA 33703 38119 89431 77802 78745 40217 45429 32503 20603 89146 75050 70360 46260 77055 69361 21117 17044 81657 94115 53188 75228 99352 98686 30327 03249 33709 85012 45246 91754 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1013068642 1013096700 1013104389 1013116748 1013116938 1013136456 1013138536 1013158948 1013172840 1013195569 1013914316 1013914985 1013921964 1013924133 1013946276 1013947159 1013962521 1013964063 1013967025 1013972066 1013973825 1013980317 1013984657 1013984665 1013990308 1013993252 1013996750 1013997915 1013999580 PROVIDER NAME ADDRESS RENAISSANCE SURGERY CENTER, LLC 2365 E FIR AVE, CLEARER VISION, LLC 1059 NEAL ST, SUITE B TRACY SURGERY CENTER, LLC 2160 W GRANT LINE RD, SUITE 120 BAYSPINE SURGERY CENTER LLC 3065 RICHMOND PKWY STE 100, FOOT SURGERY CENTER OF NORTHERN COLORADO 1355 RIVERSIDE AVE, STE B SOUTH JERSEY MUSCULOSKELETAL INSTITUTE, LLC 860 ROUTE 168, SUITE 100 WESTERN WASHINGTON MEDICAL GROUP, INC, P.S. 3726 BROADWAY, SUITE 206 WEST SIDE SURGERY CENTER 314 WESTSIDE DRIVE, THE OREGON CLINIC PC 9701 SW BARNES RD, SUITE 310 SUN CITY WEST SURGERY CENTER, LLC 12361 W BOLA DR, SUITE 112 BURLINGAME SURGICAL CENTER, PA 1325 N TRAVIS ST, ROANOKE AMBULATORY SURGERY CENTER, LLC 1102 S JEFFERSON ST, BLOOMFIELD SURGI-CENTER, LLC 1255 BROAD STREET, SUITE 200 TRINITY DEVELOPMENT, LLC 201 E WATTS ST, INSTITUTE OF SPECIALTY SURGERY LLC 2301 25TH ST S, SUITE H MIAMI LAKES SURGERY CENTER LTD 15501 NW 67TH AVE, SUITE 200 NEWPORT PLAZA SURGERY CENTER 1091 NEWPORT BLVD, STE 240 BRISTOL SURGERY CENTER, LLC 350 BLOUNTVILLE HWY, SUITE 108 CLEVELAND CENTER FOR DIGESTIVE HEALTH & ENDOSCOPY, 3700 PARK INC. EAST DR, SUITE 100 SCA NASHVILLE SURGERY CENTER LLC 1717 PATTERSON ST, OWENSBORO AMBULATORY SURGICAL FACILITY LTD 1000 BRECKENRIDGE ST, SUITE 100 LOS ANGELES INGLEWOOD ENDOSCOPY ASC LP 8110 AIRPORT BLVD, FIRST FLOOR MAYFAIR DIGESTIVE HEALTH CENTER, LLC 1033 N MAYFAIR RD, SUITE 104 POPP COSMETIC SURGERY PC 11919 GRANT ST, STE 100 AUGUSTA PLASTIC SURGERY CENTER, INC. 1348 WALTON WAY, SUITE 6300 PASADENA LASER & SURGERY CENTER 960 E GREEN ST, SUITE 110 SYNERGY SPINE CENTER, PA 457D BY PASS 123, KNOXVILLE OPHTHALMOLOGY ASC LLC 1124 E WEISGARBER RD, SUITE 110 INTEG HEALTH SYSTEM, P.C. 1011 W 2ND ST, SMA Informatics Confidential CITY FRESNO COOKEVILLE TRACY RICHMOND FORT COLLINS TURNERSVILLE EVERETT DOUGLAS PORTLAND SURPRISE SHERMAN ROANOKE BLOOMFIELD ENTERPRISE FARGO MIAMI LAKES COSTA MESA BRISTOL BEACHWOOD NASHVILLE OWENSBORO LOS ANGELES WAUWATOSA OMAHA AUGUSTA PASADENA SENECA KNOXVILLE BLOOMINGTON SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 3 ST ZIP CA TN CA CA CO NJ WA GA OR AZ TX VA NJ AL ND FL CA TN OH TN KY CA WI NE GA CA SC TN IN 93720 38501 95377 94806 80524 08012 98201 31533 97225 85374 75092 24016 07003 36330 58103 33014 92627 37620 44122 37203 42303 90045 53226 68164 30901 91106 29678 37909 47403 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1023001377 1023002524 1023005139 1023005600 1023006079 1023008075 1023010311 1023015989 1023017654 1023036688 1023039195 1023039682 1023052685 1023055001 1023056090 1023057916 1023070026 1023071180 1023071560 1023072824 1023074291 1023079860 1023088473 1023094836 1023103769 1023104825 1023113701 1023115078 1023122876 PROVIDER NAME ADDRESS SOUTHERN ILLINOIS ORTHOPEDIC CENTER 600 S CLIFF AVE STE 106, RIVER OAKS SURGICAL CENTER, LLC 4120 SOUTHWEST FWY, STE 100 ROANOKE VALLEY CENTER FOR SIGHT LLC 438 W MAIN ST, PSHS BETA PARTNERS LTD 401 S. LEJEUNE RD., SUITE 201 THE ENDOSCOPY CENTER LLC 817 LAWN AVE, DR. DAN R LIGHTFOOT M.D. 720 4TH ST, BLUE RIDGE SURGICAL CENTER, LLC 4240 BLUE RIDGE BLVD, STE 950 TUCSON GASTROENTEROLOGY INSTITUTE, LLC 3040 N SWAN RD, SUITE A. DR. GARY A. LIEBERMAN, P.A. 10101 LORAIN AVE, CENTER FOR SURGERY & DIGESTIVE DISORDER 3641 S MIAMI AVE, CAPE SURGERY CENTER, LLC 401 E TICKLE ST, BEVERLY HILLS ENDOSCOPY LLC 465 N ROXBURY DR, SUITE PH INSTITUTO DE OJOS Y PIEL, INC ROAD # 3 KM12.3, 65 AVENUE ZION AMBULATORY CENTER 9110 PHILADELPHIA RD., STE # 306 ADVANCED EYE SURGERY & LASER CENTER 646 W PERSHING RD, PHYSICIANS DAY SURGERY CENTER 2705 S ORLANDO ST, TOMS RIVER SURGERY CENTER, LLC 1430 HOOPER AVENUE, SUITE 301 SAHARA OUTPATIENT SURGERY CENTER LTD 2401 PASEO DEL PRADO, MEDICAL PLAZA AMBULATORY SURGERY CENTER ASSOCIATES, 909 9TH L.P. AVE, THE SURGICAL CENTER AT SOUTH JERSEY EYE PHYSICIANS, 509 PA S LENOLA RD, SUITE 11B ARIZONA EYE INSTITUTE & COSMETIC LASER CENTER 19052 N R H JOHNSON BLVD, WEB PROPERTIES INC 1221 N 26TH STREET, PANAMA CITY SURGERY CENTER,LLC 1800 JENKS AVE, ENDOSCOPY CENTER OF ST. LOUIS 200 BREVCO PLAZA, SUITE 207 OAK LAWN ENDOSCOPY LLC 9921 SOUTHWEST HIGHWAY, VISION CARE OF MAINE-AROOSTOOK LLC 173 ACADEMY ST, SURGICAL CENTER OF CONNECTICUT LLC 3101 MAIN STREET, LL MAIN LINE PA ENDOSCOPY ASC LP 325 WEST CENTRAL AVE, LOWER LEVEL RUSHLAND PARK SURGICENTER 4404 6TH ST, SMA Informatics Confidential CITY SIOUX FALLS HOUSTON SALEM MIAMI SELLERSVILLE SANTA ROSA KANSAS CITY TUCSON SILVER SPRING MIAMI DYERSBURG BEVERLY HILLS CAROLINA BALTIMORE DECATUR PINE BLUFF TOMS RIVER LAS VEGAS FORT WORTH MOORESTOWN SUN CITY WEST BILLINGS PANAMA CITY LAKE SAINT LOUIS OAK LAWN PRESQUE ISLE BRIDGEPORT MALVERN LUBBOCK SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 4 ST ZIP SD TX VA FL PA CA MO AZ MD FL TN CA PR MD IL AR NJ NV TX NJ AZ MT FL MO IL ME CT PA TX 57104 77027 24153 33134 18960 95404 64133 85712 20901 33133 38024 90210 00985 21237 62526 71603 08753 89102 76104 08057 85375 59101 32405 63367 60453 04769 06606 19355 79416 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1023123296 1023125929 1023134640 1023135977 1023149242 1023159860 1023160553 1023161122 1023162013 1023169380 1023169752 1023182581 1023191822 1023199601 1023218500 1023250438 1023252954 1023253291 1023255973 1023256187 1023257300 1023266145 1023271459 1023297462 1023297553 1023341740 1023343720 1023349909 1033102140 PROVIDER NAME ADDRESS ASSOCIATES SURGERY CENTERS, LLC 9970 MOUNTAIN VIEW DR, SUITE 100 POTTSTOWN SURGICAL CENTER 1591 MEDICAL DR, LOCUST GROVE ENDO CENTER 4865 BILL GARDNER PARKWAY, BURTONSVILLE SURGICAL CENTER 15300 SPENCERVILLE CT STE 101, DUBLIN ORTHOPAEDICS ASC, INC. 2627 MOORE STATION ROAD, THOUSAND OAKS SURGERY CENTER A PROFESSIONAL CORPORATION 415 ROLLING OAKS DR, SUITE #115 ALBANY SURGERY CENTER, LLP 531 7TH AVE, JOSEPH R MARTEL MD INC 11216 TRINITY RIVER DR, PENINSULA ENDOSCOPY CENTER, LLC 9315 OCEAN HIGHWAY, JCMG SURGERY CENTER, INC. 1241 W STADIUM BLVD, RIVER ROAD SURGERY CENTER 5110 RIDGEFIELD ROAD, SUITE 106 MAYS & SCHNAPP PAIN CLINIC & REHABILITATION CENTER 55 HUMPHREYS CENTER DRIVE, SUITE 200 SANTA BARBARA SURGERY CENTER LP 3045 DE LA VINA ST, ANNE ARUNDEL UROLOGICAL SURGERY CENTER LLC 600 RIDGELY AVE, SUITE 223 SAN MARTIN SURGERY CENTER LLC 8530 W SUNSET RD, STE #100 BEVERLY HILLS CENTER FOR SPECIAL SURGERY 14642 NEWPORT AVE, SUITE 100 GASTRO SPECIALISTS ENDOSCOPY CENTER, LLC 3292 MOUNTAIN DR, SUITE A FLORHAM PARK SURGERY CENTER, LLC 83 HANOVER RD, SUITE 100 PATIENTS FIRST SURGERY CENTER LLC 901A PATIENTS FIRST DRIVE, TAMPA SURGERY CENTER LLC 13904 N DALE MABRY HWY, SUITED 100 CAROLINA DIGESTIVE DISEASES, PA 704 W H SMITH BLVD, CENTER FOR PAIN MANAGEMENT, ASC LLC 1600 CRAIN HWY S, SUITE 301 RIVERBEND AMBULATORY SURGERY CENTER LLC 3355 RIVERBEND DR, SUITE 110 GASTROENTEROLOGY CONSULTANTS OF SAN ANTONIO, 8214 P.A.WURZBACH RD, PHYSICIANS SURGERY CENTER, LLC 2601 W MAIN ST, OPHTHALMOLOGY SURGERY CENTER OF DALLAS, LLC 10740 N CENTRAL EXPY, SUITE 400 HATTIESBURG SURGERY CENTER, LLC 139 FAIRFIELD DRIVE, PICCARD SURGERY CENTER, LLC 1330 PICCARD DR STE 102, SSC HOLDINGS LLC 81812 DR CARREON BLVD, SUITE F SMA Informatics Confidential CITY ST ZIP WEST MIFFLIN POTTSTOWN LOCUST GROVE BURTONSVILLE DUBLIN THOUSAND OAKS ALBANY RANCHO CORDOVA DELMAR JEFFERSON CITY BETHESDA MEMPHIS SANTA BARBARA ANNAPOLIS LAS VEGAS TUSTIN DECATUR FLORHAM PARK WASHINGTON TAMPA GREENVILLE GLEN BURNIE SPRINGFIELD SAN ANTONIO CARBONDALE DALLAS HATTIESBURG ROCKVILLE INDIO PA PA GA MD GA CA GA CA MD MO MD TN CA MD NV CA GA NJ MO FL NC MD OR TX IL TX MS MD CA 15122 19464 30248 20866 31021 91361 31701 95670 21875 65109 20816 38120 93105 21401 89113 92780 30032 07932 63090 33618 27834 21061 97477 78229 62901 75231 39402 20850 92201 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 5 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1033102397 1033105960 1033106612 1033112628 1033113402 1033114764 1033115472 1033116892 1033117262 1033126222 1033135314 1033137989 1033140397 1033141825 1033147640 1033154851 1033161039 1033162631 1033173711 1033176565 1033177373 1033181862 1033189360 1033190129 1033190566 1033195912 1033199906 1033210760 1033213269 PROVIDER NAME ADDRESS KENTUCKY LAKE SURGERY CENTER LLC 1002 CORNERSTONE DR, SUITE B SURGERY CENTER OF OAK RIDGE, LLC 944 OAK RIDGE TPKE, SUITE 200 PSHS ALPHA PARTNERS LTD 7597 LAKE WORTH RD, GOLDEN RIDGE SURGERY CENTER 660 GOLDEN RIDGE ROAD, #110 NORTH FLORIDA SURGERY CENTER 4600 N DAVIS HWY, PREMIER OUTPATIENT SURGERY CENTER, INC. 900 E WASHINGTON ST, STE 155 CAPLAN-BERKELEY, LLP 3100 WESLAYAN ST, STE 400 CENTER FOR UROLOGIC CARE OF BERKS CO PC 1320 BROADCASTING RD, SUITE 210 ZERO SURGERY CENTERS, LLC 1902 HWY 35, ENDOSCOPY CENTER OF COLUMBUS, LLC 1130 TALBOTTON RD, MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMOND 9105 STONY POINT PKWY, LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. 811 WEST MAIN STREET, MANITOWOC SURGERY CENTER, LLC 1720 MEMORIAL DRIVE, GREENSPRING SURGERY CENTER 2700 QUARRY LAKES DR., SUITE 100 ELMWOOD ENDOSCOPY CENTER, PC 1600 6TH AVE, SUITE 115 PARKWEST SURGERY CENTER LP 9430 PARKWEST BLVD, SUITE 210 SOUTHCREST SURGERY CENTER LP 8803 S 101ST EAST AVE, SUITE 160 EYE SURGERY CENTER NORTHLAND 9401 N OAK TRFY, SUITE 124 MARYSVILLE OHIO SURGICAL CENTER 122 PROFFESSIONAL PKWY, 2121 SURGERY CENTER LIMITED PARTNERSHIP 2121 WILSHIRE BLVD, SUITE 201 SURGICARE OF LA VETA LTD 681 S PARKER ST, SUITE 150 EL PASO ASC LP 1300 MURCHISON DR, SUITE 180 REGIONAL MEDICAL SERVICES INC 5200 N CROATAN HWY, MAE PHYSICIANS SURGERY CENTER 1190 N STATE ST, STE 102 NORTHERN INDIANA AMBULATORY SURGERY CENTER 500 ARCADE AVE, SUITE 100 SURGICAL ASSOCIATES ENDOSCOPY CLINIC LLC 310 S PENNSYLVANIA ST, SUITE 201 WEYMOUTH ENDOSCOPY, LLC 1085 MAIN ST, CARLISLE ENDOSCOPY CENTER, LTD. 241 ALEXANDER SPRING RD, CAPE COD EYE SURGERY & LASER CENTER 282 ROUTE 130, SMA Informatics Confidential CITY ST ZIP PARIS OAK RIDGE LAKE WORTH GOLDEN PENSACOLA COLTON HOUSTON WYOMISSING WALL TOWNSHIP COLUMBUS RICHMOND LEXINGTON MANITOWOC BALTIMORE YORK KNOXVILLE TULSA KANSAS CITY MARYSVILLE SANTA MONICA ORANGE EL PASO KITTY HAWK JACKSON ELKHART ABERDEEN SOUTH WEYMOUTH CARLISLE SANDWICH TN TN FL CO FL CA TX PA NJ GA VA SC WI MD PA TN OK MO OH CA CA TX NC MS IN SD MA PA MA 38242 37830 33467 80401 32503 92324 77027 19610 07719 31904 23235 29072 54220 21209 17403 37923 74133 64155 43040 90403 92868 79902 27949 39202 46514 57401 02190 17015 02563 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 6 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1033214903 1033215223 1033220751 1033222989 1033223367 1033223748 1033229323 1033246459 1033250055 1033250618 1033251160 1033271176 1033273826 1033282173 1033290499 1033292214 1033294640 1033309406 1033316765 1033351119 1033355359 1033355631 1033363064 1033368378 1033369905 1033373691 1033375399 1033393012 1033399084 PROVIDER NAME ADDRESS SOUTH HILLS DIAGNOSTIC & TREATMENT CENTER LP 2589 BOYCE PLAZA RD, WESTWOOD SURGERY CENTER 10884 SANTA MONICA BLVD STE 402, ENDOSCOPY CENTER AT ST MARY 1205 LONGHORNE-NEWTOWN RD, SUITE 103 EMPIRE SURGERY CENTER, INC 4101 EMPIRE DRIVE, SUITE 130 SOUTHEASTERN OUTPATIENT SURGERY 2030 FLEISCHMANN RD, PHYSICIANS SURGERY CENTER OF WACO 2201 W LOOP 340, COSMETIC SURGERY CENTER OF SANTA MONICA 1260 15TH ST, SUITE 1401 COTTON-O'NEIL CLINIC DIGESTIVE HEALTH CENTER 720 SW LANE ST, DR. HOWARD L. SCHULTHEISS, JR, DPM, P.A 437 S MAIN ST, MCDOWELL AMBULATORY SURGERY CENTER LLC 1301 E MCDOWELL RD, SUITE 100 WACCAMAW ENDOSCOPY CENTER, LLC 2361 NORTH FRASER STREET, HALLMARK SURGICAL CENTER OF NORTHRIDGE 8327 RESEDA BOULEVARD, WILLIAM E. FREEMAN, MD 136 S HOUSTON LAKE RD, TEMECULA VALLEY DAY SURGERY 25495 MEDICAL CENTER DR, SUITE 101 JESSCO LLC 10308 OLD OCEAN CITY BLVD, PIKES PEAK ENDOSCOPY AND SURGERY CENTER 1699 MEDICAL CENTER PT, NORTHERN NJ EYE INSTITUTE PA 71 2ND ST, WILSHIRE CENTER FOR AMBULATORY SURGERY, INC. 1127 WILSHIRE BLVD, SUITE 1515 VISTA SURGERY CENTER LLC 1400 COMMON DRIVE, SSM ST. CLARE SURGICAL CENTER, LLC 1055 BOWLES AVE, SUITE 100 ATLANTA WEST ENDOSCOPY CENTER LLC 4904 TIMBER RIDGE DR, SUITE 202B MAQBOOL AHMAD 2900 BROADWAY ST, SUITE B TATTNALL HOSPTIAL COMPANY, LLC 210 E DERENNE AVE, MISSION ENDOSCOPY CENTER INC 26921 CROWN VALLEY PKWY, STE 200 HYANNIS EAR, NOSE AND THROAT ASSOC INC 68 CAMP ST, THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY 1106 CHUCK CENTER, DAWLEY LLC BLVD, SUITE 100 ABILENE SURGERY CENTER, LLC 5601 HEALTH CENTER DR, MICHAEL E. BLATNER, MD PS 16259 SYLVESTER RD SW STE 302, HIGH DESERT SURGERY CENTER, L.L.C. 521 N YOUNG ST, SMA Informatics Confidential CITY ST PITTSBURGH PA LOS ANGELES CA LANGHORNE PA BAKERSFIELD CA TALLAHASSEE FL WACO TX SANTA MONICA CA TOPEKA KS BEL AIR MD PHOENIX AZ GEORGETOWN SC NORTHRIDGE CA WARNER ROBINS GA MURRIETA CA BERLIN MD COLORADO SPRINGS CO SOUTH ORANGE NJ LOS ANGELES CA EL PASO TX FENTON MO DOUGLASVILLE GA MOUNT VERNON IL SAVANNAH GA MISSION VIEJO CA HYANNIS MA MT PLEASANT SC ABILENE TX BURIEN WA KENNEWICK WA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 7 ZIP 15241 90025 19047 93309 32308 76712 90404 66606 21014 85006 29440 91324 31088 92562 21811 80907 07079 90017 79936 63026 30135 62864 31405 92691 02601 29464 79606 98166 99336 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1033448782 1043204688 1043205040 1043208283 1043209653 1043215858 1043216617 1043217615 1043222417 1043225865 1043236664 1043239338 1043246077 1043249972 1043253263 1043254063 1043254162 1043268840 1043271604 1043272750 1043275183 1043281660 1043282775 1043283294 1043283906 1043284508 1043288111 1043288467 1043290653 PROVIDER NAME ADDRESS ENDOSCOPY CENTER OF SILICON VALLEY LLC 2410 SAMARITAN DR, SUITE 101 INDIANA AMBULATORY SURGICAL ASSOCIATES, L.L.C. 841 HOSPITAL RD, ST LUKES SURGICAL CENTER INC 43309 US HIGHWAY 19 N, LOWERY MEDICAL/SURGICAL EYE CENTER, P.A. 105 CENTRAL AVENUE, SURGERY CENTER OF CANFIELD, LLC 4147 WESTFORD DRIVE, NORTHEAST SURGICAL CARE 2299 WOODBURY AVE, STE 5 TRIAD EYE MEDICAL CLINIC & CATARACT INSTITUTE CO3131 INC MILITARY BLVD, SURGERY CENTER OF LONG BEACH 2880 ATLANTIC AVE, STE 160 COTTONWOOD DAY SURGERY CENTER 55 S 6TH ST, GOLDEN ISLES FOOT SURGERY CENTER 10 PROFESSIONAL DR, ST. MARY'S AMBULATORY SURGERY CENTER, INC 1501 MAPLE AVE MOB NORTHWEST, SUITE 300 NORTH VALLEY ENDOSCOPY CENTER LLC 15255 N 40TH STREET, BUILDING 8 DUTCHESS AMBULATORY SURGICAL CENTER 23 DAVIS AVE, PLASTIC AND RECONSTRUCTIVE SURGERY CENTER 1387 SANTA RITA RD, DDSI SOUTH AEC LLC 4201 SOUTH WESTERN, STE. 4000 SIERRA AMBULATORY SURGERY CENTER 400 SIERRA COLLEGE DRIVE, SUITE B FVOSA SURGICAL PARTNERS, LLC 2105 E. ENTERPRISE AVE., SUITE 101 PREMIERE SURGERY CENTER, INC 700 W EL NORTE PKWY, NORTH FULLERTON SURGERY CENTER, LLC 37 N FULLERTON AVE, WEST PARK SURGERY CENTER 6640 78TH AVE, SUITE B FOREST AMBULATORY SURGICAL ASSOCIATES LP 2110 FOREST AVE, UPMC MONROEVILLE SURGERY CENTER 125 DAUGHERTY DR, BALTIMORE ENDOSCOPY ASC LLC 4660 WILKENS AVE, SUITE 301 THE HUTCHINSON OPHTHALMOLOGY ASC LLC 1708 E 23RD AVE, NAUGATUCK VALLEY ENDOSCOPY GROUP LLC 1312 WEST MAIN ST, WINTER HAVEN-SEBRING FL OPHTHALMOLOGY ASC LLC5030 US HIGHWAY 27 N, GOSHEN AMBULATORY CARE CENTER LLC 1605 WINSTED DR, GRAND RIVER ENDOSCOPY CENTER, L.L.C. 310 LAFAYETTE AVE SE, SUITE 200 SUNCOAST SURGERY CENTER, LLC 12731 NEW BRITTANY BLVD, SMA Informatics Confidential CITY SAN JOSE INDIANA TARPON SPRINGS SEARCY CANFIELD NEWINGTON MUSKOGEE LONG BEACH COTTONWOOD BRUNSWICK RICHMOND PHOENIX POUGHKEEPSIE PLEASANTON OKLAHOMA CITY GRASS VALLEY APPLETON ESCONDIDO MONTCLAIR PINELLAS PARK SAN JOSE MONROEVILLE BALTIMORE HUTCHINSON WATERBURY SEBRING GOSHEN GRAND RAPIDS FORT MYERS SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 8 ST ZIP CA PA FL AR OH NH OK CA AZ GA VA AZ NY CA OK CA WI CA NJ FL CA PA MD KS CT FL IN MI FL 95124 15701 34689 72143 44406 03801 74401 90806 86326 31520 23226 85032 12603 94566 73109 95945 54913 92026 07042 33781 95128 15146 21229 67502 06708 33870 46526 49503 33907 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1043297872 1043303894 1043323801 1043347230 1043361074 1043367196 1043368426 1043375702 1043384704 1043391188 1043396245 1043411648 1043426950 1043473390 1043497019 1053300012 1053301473 1053303826 1053314013 1053314112 1053316802 1053319053 1053328781 1053336602 1053336883 1053342238 1053345082 1053347203 1053349738 PROVIDER NAME ADDRESS CENTRAL JERSEY AMBULATORY SURGICAL CENTER 511 COURTYARD DR, BUILDING 500 DOCTOR'S OUTPATIENT SURGERY CENTER 3602 KYOTO GARDENS DRIVE, GLENDORA DERMATOLOGIC AND COSMETIC SURGERY 412 CENTER W. CARROLL AVE, SUITE 208 WOUND INSTITUTE AND RESEARCH CENTER, LLC 1000 MEADE ST, AUGUSTA CENTER FOR FOOT AND ANKLE SURGERY 1515 LANEY WALKER BLVD, SURGICAL SPECIALISTS GROUP, LLC 1323 SUMMIT DRIVE, SOUTHLAKE CLINIC INC PS 4011 TALBOT ROAD SOUTH, SUITE 500 HAZLETON ENDOSCOPY CENTER, INC. 10 PARK PLACE, AMBULATORY SURGERY CENTER AT OLD BRIDGE LLC 400 PERRINE RD, SUITE 408 SKIN SURGERY CENTER PS 1229 MADISON ST, SUITE 1480 WEST FLORIDA MEDICAL CENTER CLINIC PA 8333 N DAVIS HWY, COFFEE COUNTY CENTER FOR DIGESTIVE DISEASES 300 SHIRLEY AVENUE, HOSPITAL DRIVE SURGERY CENTER, LLC 2500 HOSPITAL DR, BLDG. 9, STE. B LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL 3300 E GROUP SOUTH ST, SUITE 107 PIKESVILLE MD ENDOSCOPY ASC LLC 1838 GREENE TREE RD, SUITE 180 THE SURGERY CENTER OF POPLAR BLUFF, LLC 219 PHYSICIANS PARK, BAKER AMBULATORY SURGERY CENTER 810 MERRIMAN ST, NEW ENGLAND LASER AND COSMETIC SURGERY CENTER 1072 LLCTROY SCHENECTADY RD, TRIA ORTHOPAEDIC CENTER ASC LLC 8100 NORTHLAND DR, GULFCOAST SURGERY CENTER, INC. 4947 CLARK RD, OAKVIEW SURGICAL CENTER, INC. 120 E 18TH ST, NOVAMED EYE SURGERY CENTER OF NEW ALBANY, LLC520 W 1ST ST, LOS ALAMITOS SURGERY CENTER LP 10921 CHERRY ST, #100 VIRGINIA EYE INSTITUTE INC 402 WESTHAMPTON STA, FORBES AMBULATORY SURGERY CENTER, L.L.C. 7501 FORBES BLVD, SUITE 103 OHIO VISION OF TOLEDO,INC. 2740 NAVARRE AVE, EYE SURGERY LIMITED LLC 1200 FIRST COLONIAL RD, SUITE 104 DERMATOLOGIC AND COSMETIC SURGERY CENTER 2668 SWAMP CABBAGE CT, WESTSIDE ENDOSCOPY 5525 MARIE AVE, SMA Informatics Confidential CITY ST HILLSBOROUGH NJ PALM BEACH GARDENS FL GLENDORA CA DUNMORE PA AUGUSTA GA JASPER AL RENTON WA HAZLE TOWNSHIP PA OLD BRIDGE NJ SEATTLE WA PENSACOLA FL DOUGLAS GA MOUNTAIN VIEW CA LONG BEACH CA BALTIMORE MD POPLAR BLUFF MO CONWAY AR LATHAM NY MINNEAPOLIS MN SARASOTA FL ROCHESTER IN NEW ALBANY IN LOS ALAMITOS CA RICHMOND VA SEABROOK MD OREGON OH VIRGINIA BEACH VA FORT MYERS FL CINCINNATI OH SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 9 ZIP 08844 33410 91741 18512 30904 35501 98055 18202 08857 98104 32514 31533 94040 90805 21208 63901 72032 12110 55431 34233 46975 47150 90720 23226 20706 43616 23454 33901 45248 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1053352443 1053353359 1053356436 1053360107 1053362343 1053366930 1053375873 1053378265 1053378638 1053381236 1053385328 1053385856 1053387589 1053388223 1053391169 1053391870 1053392878 1053404574 1053407353 1053412189 1053416818 1053417402 1053418137 1053424960 1053440917 1053453134 1053460279 1053461624 1053463984 PROVIDER NAME TRUCKEE SURGERY CENTER VISION SURGERY AND LASER CENTER, LLC EDGEWORTH COMMONS GROUP LLC ADVANCED EYE SURGERY CENTER SODERSTROM DERMATOLOGY CENTER S C ADVANCED SURGERY CENTER, LLC TUCKAHOE SURGERY CENTER LP NEW ENGLAND EYE SURGICAL CENTER INC BARNET DULANEY SURGERY CENTERS, LLC METHODIST SURGERY CENTER GERMANTOWN MIDWEST ENDOSCOPY SERVICES LLC JACKSON OPHTHALMOLOGY ASC LLC ASSOCIATED EYE SURGICAL CENTER THE OCULAR SURGERY CENTER ENDOSCOPY CENTER OF SOUTH BAY LP NORTHWEST SURGERY CENTER LTD NORTH TEXAS ENDOSCOPY KINGSPORT AMBULATORY SURGERY CTR ROC-ASC, LLP HEMET ENDOSCOPY CENTER TENET HEALTHSYSTEM DESERT INC. KEYSTONE KIDNEY ASSOCIATES, PC TRI CITY REGIONAL SURGERY CENTER LLC SHILLER SURGERY CENTER, INC LOS GATOS SPINAL DIAGNOSTICS INC ADVANCED SURGICAL CON PEE DEE HEALTH CARE, PA MOUNTAIN VIEW SURGICAL CENTER INC. MESA SURGICENTER SMA Informatics Confidential ADDRESS 10770 DONNER PASS RD, SUITE 201 2435 NW KLINE ST, 301 OHIO RIVER BLVD, SUITE 100 500 FAUNCE CORNER RD, SUITE 180 4909 N GLEN PARK PLACE RD, 111 S 10TH ST, 7640 E PARHAM RD, 696 MAIN ST, 5250 E SOUTHERN AVE, 1363 S GERMANTOWN RD, 8901 INDIAN HILLS DR, SUITE 100 207 STONEBRIDGE BLVD, 1100 N TOPEKA ST, 1100 N MAIN AVE, 23560 MADISON ST, SUITE 109 17322 RED OAK DR, 2023 W MCDERMOTT, STE 240 2204 PAVILION DRIVE, SUITE 400 1200 BINZ ST, SUITE 101 1003 E FLORIDA AVE, # 104 1180 N INDIAN CANYON DR, SUITE 110 2701 BLAIR MILL RD, SUITE 30 1096 GOETHALS DR, 3323 S LOOP 256, 429 LLEWELLYN AVE, 9118 BLUEBONNET CENTRE BLVD, 201 CASHUA ST, 16311 VENTURA BLVD, #705 100 E VALENCIA MESA DR # 303, CITY TRUCKEE ROSEBURG SEWICKLEY N DARTMOUTH PEORIA OMAHA HENRICO WEYMOUTH MESA GERMANTOWN OMAHA JACKSON WICHITA SAN ANTONIO TORRANCE HOUSTON ALLEN KINGSPORT HOUSTON HEMET PALM SPRINGS WILLOW GROVE RICHLAND PALESTINE CAMPBELL BATON ROUGE DARLINGTON ENCINO FULLERTON SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 10 ST ZIP CA OR PA MA IL NE VA MA AZ TN NE TN KS TX CA TX TX TN TX CA CA PA WA TX CA LA SC CA CA 96161 97470 15143 02747 61614 68102 23294 02190 85206 38138 68114 38305 67214 78212 90505 77090 75013 37660 77004 92543 92262 19090 99352 75801 95008 70809 29532 91436 92835 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1053481218 1053483735 1053492736 1053496240 1053505511 1053517862 1053560896 1053562959 1053565259 1053574244 1053575852 1053585125 1053597161 1053649558 1063408649 1063415891 1063416998 1063417285 1063419513 1063422962 1063424737 1063427557 1063427706 1063437994 1063442077 1063445542 1063452423 1063453561 1063457133 PROVIDER NAME ADDRESS IDAHO FALLS SURCIGAL CENTER 1945 E 17TH ST, PREMIER MEDICAL MANAGEMENT OF MISSISSIPPI, INC501 MARSHALL ST, SUITE 201 PLASTIC SURGERY ASSOCIATES OF ORANGE COUNTY 1310 W STEWART DR, STE. 610 THE OAKLAND CA ENDOSCOPY ASC LP 300 FRANK OGAWA PLAZA, SUITE 135 DIGESTIVE DISEASE CENTER OF CENTRAL NEW YORK, LLC 5112 W TAFT RD, SUITE E THE UROLOGY CLINIC LTD 10503 W THUNDERBIRD BLVD, SUITE 317 ASC DEVELOPEMENT COMPANY, LLC 500 UPPER CHESAPEAKE DRIVE, SUITE 505 PROHEALTH ALIGNED LLC 1111 DELAFIELD ST, SOUTHWEST LINCOLN SURGERY CENTER, LLC 2222 S 16TH ST, SUITE 315 SURGERY CENTER AT UNIVERSITY PARK LLC 983 S BENEVA RD, EYNON SURGERY CENTER, LLC 681 SCRANTON CARBONDALE HWY, BJOSC, LLC 5200 HUMMINGBIRD RD, 1800 MCDONOUGH ROAD SURGERY CENTER LLC 1800 MCDONOUGH RD, SUITE 100 POPPS FERRY OUT-PATIENT SURGERY CENTER, LLC 431 BERTUCCI BLVD, AIMS OUTPATIENT SURGERY 3636 N STOCKTON HILL RD, HARRISON SURGERY CENTER, LLC 105 SAWGRASS PT, WILMINGTON SURGERY CENTER, LP 1801 S 17TH ST, LARGO ENDOSCOPY CENTER LP 7300 BRYAN DAIRY ROAD, SUITE 495 ENDOSCOPY CENTER OF WESTERN NEW YORK LLC 60 MAPLE RD, SUITE 2 SAN ANTONIO AMBULATORY SURGICAL CENTER, INC 901 SAN BERNARDINO RD, SUITE 201 YANKEE SURGICAL CENTER LLC 30 W CENTURY RD, SUITE 300 CAMPUS SURGERY CENTER LP 375 FOREST AVE, PROHEALTH AMBULATORY SURGERY CENTER 2800 MARCUS AVE, TRI-CITIES ENDOSCOPY CENTER PC 10461 WALLACE ALLEY ST, INOVA LOUDOUN AMBULATORY SURG CENTER 44035 RIVERSIDE PKWY, SUITE 200 TOTAL PAIN CARE LLC 1001 14TH STREET, NASHVILLE TN OPHTHALMOLOGY ASC LLC 907 RIVERGATE PKWY, SUITE C 2020 TEMPLETON SURGERY CENTER, LLC 1310 LAS TABLAS ROAD, SUITE 104 ZANESVILLE SURGERY CENTER LLC 2907 BELL ST, SMA Informatics Confidential CITY ST ZIP IDAHO FALLS JACKSON ORANGE OAKLAND LIVERPOOL SUN CITY BEL AIR WAUKESHA LINCOLN SARASOTA EYNON WAUSAU HOFFMAN ESTATES BILOXI KINGMAN HARRISON WILMINGTON LARGO WILLIAMSVILLE UPLAND PARAMUS PALO ALTO NEW HYDE PARK KINGSPORT LEESBURG MERIDIAN GOODLETTSVILLE TEMPLETON ZANESVILLE ID MS CA CA NY AZ MD WI NE FL PA WI IL MS AZ AR NC FL NY CA NJ CA NY TN VA MS TN CA OH 83404 39202 92868 94612 13088 85351 21014 53188 68502 34232 18403 54401 60192 39531 86409 72601 28401 33777 14221 91786 07652 94301 11042 37663 20176 39301 37072 93465 43701 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 11 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1063458909 1063459451 1063465037 1063466118 1063470730 1063477198 1063486504 1063492437 1063493443 1063495257 1063497774 1063498657 1063501005 1063506707 1063507630 1063512945 1063514107 1063519866 1063520070 1063531911 1063556421 1063582427 1063584415 1063586105 1063593952 1063595221 1063598597 1063635506 1063641801 PROVIDER NAME ADDRESS WOODSTOCK ENDOSCOPY CENTER 2001 PROFESSIONAL PKWY, SUITE 270 CARROLL COUNTY AMBULATORY SURGICAL CENTER 826 WASHINGTON ROAD, SUITE 220 TWIN RIVERS ENDOSCOPY CENTER, INC 20 COMMUNITY DR, VALLEY SURGICAL CENTER INC 4250 FRITCH DRIVE, ENDOSCOPY CENTER OF ARKANSAS, LLC 1024 N UNIVERSITY AVE, GRANDVIEW SURGERY CENTER LTD 205 GRANDVIEW AVE, COLUMBIA ASC NORTHWEST LLC 190 PARKRIDGE DR, SUITE 100 SIDNEY ASC LLC 283 LOONEY RD, SEDALIA SURGERY CENTER, LLC 3310 W 10TH ST, DOCTORS SURGICAL PARTNERSHIP LTD 1035 S APOLLO BLVD, FORD CENTER FOR FOOT SURGERY 2321 PYRAMID WAY, NORTHEAST TEXAS SURGERY CENTER 1902 MOORES LN, SUITE B AMARILLO CATARACT AND EYE SURGERY CENTER, LTD 7310 FLEMING AVE, VALLEY SURGERY CENTER, L.L.C. 4819 HUNTSVILLE ROAD, NORTHEAST GEORGIA PROCEDURE CENTER 1620 PRINCE AVE, SUITE B TIFTON ENDOSCOPY CENTER, INC. 1111 20TH ST E, OHIO SURGERY CENTER LLC 930 BETHEL RD, FREDERICK ENDOSCOPY CENTER LLC 174 THOMAS JOHNSON DRIVE, SUITE 102 EAST CAROLINA GASTROENTEROLOGY ENDOSCOPY CENTER 4 OFFICE INC PARK DR, NJ VEIN & COSMETIC SURGERY CENTER, PA 741 NORTHFIELD AVE, SUITE 105 MEMORIAL SPINE AND NEUROSCIENCE CENTER 100 NAVARRE PL, SUITE 4405 LONGMONT SURGERY CENTER, LLC 2030 W MOUNTAIN VIEW AVE, # 100 CAROLINA DIGESTIVE HEALTH ASSOCIATES, PA 300 BILLINGSLEY RD, SUITE 200 DKJJ, INC 101 YMCA DR, CONNECTICUT GI ENDOSCOPY CENTER LLC 4 NORTHWESTERN DRIVE, LOVELAND SURGERY CENTER LLC 3800 GRANT AVE, CLEAR CREEK SURGERY CENTER LLC 7809 W 38TH AVE, DESCHUTES EYE CLINIC PC 813 SW HIGHLAND AVE, PRESBYTERIAN SAMEDAY SURGERY CENTER AT HUNTERSVILLE 10030 GILEAD LLC ROAD, SMA Informatics Confidential CITY WOODSTOCK WESTMINSTER EASTON BETHLEHEM LITTLE ROCK CAMP HILL COLUMBIA PIQUA SEDALIA MELBOURNE SPARKS TEXARKANA AMARILLO FLORENCE ATHENS TIFTON COLUMBUS FREDERICK JACKSONVILLE WEST ORANGE SOUTH BEND LONGMONT CHARLOTTE WAXAHACHIE BLOOMFIELD LOVELAND WHEAT RIDGE REDMOND HUNTERSVILLE SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 12 ST ZIP GA MD PA PA AR PA SC OH MO FL NV TX TX AL GA GA OH MD NC NJ IN CO NC TX CT CO CO OR NC 30188 21157 18045 18020 72207 17011 29212 45356 65301 32901 89431 75503 79106 35630 30606 31794 43214 21702 28546 07052 46601 80501 28211 75165 06002 80538 80033 97756 28078 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1063646594 1063649978 1063659605 1063667020 1063675734 1063679124 1063685980 1063692283 1063693588 1063733095 1063735702 1073505038 1073505616 1073509733 1073516795 1073519195 1073523452 1073526208 1073534012 1073536215 1073543310 1073545299 1073546875 1073559035 1073561841 1073569257 1073569562 1073570552 1073571766 PROVIDER NAME ADDRESS ADVANCED SURGERY INSTITUTE, LLC 1739 4TH ST, IMPERIAL CALCASIEU SURGICAL CENTER,LLC 1757 IMPERIAL BLVD, HOWARD COMMUNITY SURGERY CENTER LLC 3503 S REED RD, CGS ENDOSCOPY CENTER, PLLC 3520 AIRPORT BLVD NW STE F, SURGICAL CENTER AT SUN N LAKE L L C 4240 SUN N LAKE BLVD, SUITE 100 US HEALTH DEPART OF HEALTH AND HUMAN SERVICES760 HOSPITAL CIRCLE, SUSQUEHANNA ENDOSCOPY CENTER, LLC 10 CHOATE CIR, MARIAM AMIRI 11332 MOUNTAIN VIEW AVE, SUITE A SOUTHWEST ENDOSCOPY & SURGICENTER LLC 2223 E BASELINE ROAD, SUITE B WOLFE SURGERY CENTER, LLC 6200 WESTOWN PKWY, SUITE 100 OCHSNER MEDICAL CENTER - NORTHSHORE, LLC 103 MEDICAL CENTER DR, PALMETTO SURGERY CENTER 109 BLARNEY DR, THIBODAUX LASER AND SURGERY CENTER, LLC 1101 AUDUBON AVE, SUITE S4 WEST PLAINS AMBULATORY SURGERY CENTER, LLC 1401 DOCTORS DR, SPING PARK SURGERY CENTER L L C 3319 SPRING ST, STE 202A ALLIANCE SURGERY CENTER LLC 3717 HOUMA BLVD, STE 200 VIA CHRISTI CLINIC, PA 1947 N FOUNDERS ST, HAND SURGERY & REHABILITATION CENTER OF NJ, PA 5000 SAGEMORE DR, SUITE 106 COUNTRYSIDE AMBULATORY SURG CENTER 44045 RIVERSIDE PKWY, JEROME W H NISWONGER MD INC 6283 CLARK RD, #11 PLASTIC SURGERY CENTER OF LAKE COUNTY 1879 NIGHTINGALE LN, A-2 OREGON OUTPATIENT SURGERY CENTER LLC 7300 SW CHILDS ROAD, STE A STRAND GASTROINTESTINAL ENDOSCOPY CENTER 945 82ND PARKWAY, SUITE 2 HASTINGS LASER & EYE SURGERY CENTER LLC 715 N KANSAS AVE, STE 303 NEUROSPINE-PAIN SURGERY CENTER LLC 7956 W JEFFERSON BLVD, RIVERSIDE ENDOSCOPY CENTER LLC 1805 SINCLAIR AVE, GRAMERCY SURGERY CENTER, INC 380 2ND AVE, 10TH FLOOR, SUITE 1000 PHYSICIANS SURGICAL CENTER LLC 805 E ROBINSON ST, BOCA RATON OUTPATIENT SURGERY & LASER CENTER 501 LTD GLADES RD, SMA Informatics Confidential CITY SANTA ROSA LAKE CHARLES KOKOMO WILSON SEBRING BROWNING MONTOURSVILLE LOMA LINDA GILBERT WEST DES MOINES SLIDELL COLUMBIA THIBODAUX WEST PLAINS DAVENPORT METAIRIE WICHITA MARLTON LEESBURG PARADISE TAVARES TIGARD MYRTLE BEACH HASTINGS FORT WAYNE STEUBENVILLE NEW YORK NORMAN BOCA RATON SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 13 ST ZIP CA LA IN NC FL MT PA CA AZ IA LA SC LA MO IA LA KS NJ VA CA FL OR SC NE IN OH NY OK FL 95404 70605 46902 27896 33872 59417 17754 92354 85234 50266 70461 29223 70301 65775 52807 70006 67206 08053 20176 95969 32778 97224 29572 68901 46804 43953 10010 73071 33432 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1073572327 1073578019 1073578126 1073579256 1073581880 1073587416 1073588356 1073588646 1073593109 1073598066 1073601001 1073601332 1073604310 1073608220 1073613162 1073620415 1073621579 1073627162 1073644399 1073663480 1073675583 1073678637 1073682159 1073693123 1073694550 1073699609 1073713004 1073737060 1073757480 PROVIDER NAME ADDRESS HAWTHORN ENDOSCOPY SERVICE, LLC 535 FAUNCE CORNER ROAD, WAKEMED-BLUE RIDGE DAY SURGERY CENTER, LP 2308 WESVILL CT, SAN LUIS OBISPO SURGERY CENTER A CALIFORNIA LIMITED 1304PARTNERSHIP ELLA ST, SUITE C OUTPATIENT SURGICAL CARE LTD 1530 W GLENDALE AVE, SUITE 105 AMBULATORY SURGERY CENTER LP 818 N EMPORIA, STE 108 SYRACUSE ENDOSCOPY ASSOCIATES, LLC 739 IRVING AVE, SUITE 420 DIGESTIVE HEALTH SPECIALIST ENDOSCOPY CENTER ARIZONA, 8573 E PRINCESS LLC DR, STE. B117 ESCONDIDO CA ENDOSCOPY ASC LP 488 E VALLEY PKWY, SUITE 110 MARYVILLE ASC 1706 E LAMAR ALEXANDER PKWY, UROLOGY SURGERY CENTER LP 2801 CHARLOTTE AVE, ADVANCED SIGHT SURGERY CENTER 321 N. LARCHMONT BLVD., #1021 LISA RENFRO SURGERY CENTER LLC 2002 MEDICAL PKWY, SUITE 630 AMERICAN HEALTH NETWORK OF INDIANA, LLC 3631 N. MORRISON ROAD, SUITE 106 G I D HOLDINGS, INC 4321 WASHINGTON ST, SUITE 5700 ROCKY MOUNTAIN SURGERY CENTER LLC 401 W HAMPDEN PL, SUITE 100 NORTH BAY EYE ASSOCIATES, ASC 380 TESCONI CT, SHORELINE SURGERY CENTER LLC 111 GOOSE LANE, CIGNA HEALTHCARE OF ARIZONA, INC. 4001 E BASELINE RD, SUITE 102 PRIVATE SURGICAL SUITE, LLC 5530 WISCONSIN AVE, SUITE 1455 DOCTORS CLINIC PC 2200 NW MYHRE RD, ROCKVILLE ESC NORTH MD ENDOSCOPY ASC LLC 15005 SHADY GROVE RD, SUITE 300 KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC 201 NORTH STATES,INC WASHINGTON STREET, CENTRAL MASSACHUSETTS AMBULATORY ENDOSCOPY105 CENTER ERDMAN LLC WAY, PCSC 15 INC 3805 TELEGRAPH RD, ROCKWALL AMBULATORY SURGERY CENTER LLP 825 W YELLOWJACKET LANE, SAN JOSE MEDICAL MANAGEMENT, INC. 2585 SAMARITAN DR, ADVANCED EYE SURGERY CENTER LLC 627 W EAST AVENUE, VISUAL HEALTH AT JUPITER EYE CENTER LLC 102 COASTAL WAY, ENDOSCOPY CENTER OF WESTERN 2460 PATTERSON RD, UNIT 4 SMA Informatics Confidential CITY ST NORTH DARTMOUTHMA RALEIGH NC SAN LUIS OBISPO CA PHOENIX AZ WICHITA KS SYRACUSE NY SCOTTSDALE AZ ESCONDIDO CA MARYVILLE TN NASHVILLE TN LOS ANGELES CA ANNAPOLIS MD MUNCIE IN KANSAS CITY MO ENGLEWOOD CO SANTA ROSA CA GUILFORD CT GILBERT AZ CHEVY CHASE MD SILVERDALE WA ROCKVILLE MD FALLS CHURCH VA LEOMINSTER MA VENTURA CA ROCKWALL TX SAN JOSE CA CHICO CA JUPITER FL GRAND JUNCTION CO SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 14 ZIP 02747 27607 93401 85021 67214 13210 85255 92025 37804 37209 90004 21401 47304 64111 80110 95401 06437 85234 20815 98383 20850 22046 01453 93003 75087 95124 95926 33477 81505 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1073758264 1073758298 1073759015 1073778346 1073791158 1073794855 1083601298 1083602411 1083606867 1083611990 1083613327 1083615470 1083622112 1083624225 1083624670 1083635551 1083638647 1083643852 1083644124 1083653554 1083653935 1083655823 1083656318 1083659866 1083669196 1083670939 1083670970 1083671358 1083674196 PROVIDER NAME ADDRESS TRINITY PLAZA SURGERY CENTER LLC 10200 TRINITY PKWY, SUITE 101 BAPTIST SURGERY AND ENDOSCOPY CENTERS LLC 7500 SW 87TH AVE, SUITE 101 GLOUCESTER COUNTY SURGERY CENTER, LLC 163 BRIDGETON PIKE, BUILDING B THE OREGON CLINIC PC 1111 NE 99TH AVE, SOUTHERN EYE SURGERY CENTER LLC 1420 S 28TH AVE, BARRANCA SURGERY CENTER, LLC. 3500 BARRANCA PKWY STE 130, LAHAYE CENTER FOR ADVANCED EYE CARE, APMC 4313 I 49 S SERVICE RD, RENO ENDOSCOPY CENTER,LLP 880 RYLAND ST, NOVAMED SURGERY CENTER OF TYLER, LP 802 TURTLE CREEK DR, ASSOCIATED ENDOSCOPY LLC 5651 FRIST BLVD, SUITE 307 BLOOMINGTON NORMAL HEALTHCARE, LLC 2100 FORT JESSE RD, NOVAMED SURGERY CENTER OF RIVER FOREST, LLC 7427 LAKE ST, UROLOGY SURGERY CENTER 1519 3RD ST SE, SUITE 240 UNIVERSITY OF MARYLAND SURGCIAL ASSOC PA 419 W REDWOOD ST, SUITE 310 PRESCOTT OUTPATIENT SURGICAL CENTER, LIMITED PARTNERSHIP 815 AINSWORTH DR., LAKESHORE SURGICARE, LLC 3111 VILLAGE POINTE, WEST DES MOINES AMBULATORY SURGICAL CENTER, INC. 2425 WESTOWN PKWY, STE. 200 AMARILLO COLONOSCOPY CENTER LP 800 QUAIL CREEK DRIVE, SUITE 103 MEMORIAL HERMANN SURGERY CENTER SOUTHWEST 7789 LLP SOUTHWEST FWY, SUITE 200 UROLOGY SURGICAL PARTNERS, LLC 5673 PEACHTREE DUNWOODY RD NE, SUITE 900 OAKWOOD SOUTHSHORE SURGERY CENTER, LLC 5452 FORT ST, SUITE 100 DIGESTIVE DISEASE SPECIALISTS INC 3366 NW EXPRESSWAY, SUITE 400 SURGERY CENTER OF OVERLAND PARK LP 10601 QUIVIRA RD, SUITE 100 ORTHOPAEDIC SURGERY CENTER OF SAN ANTONIO LP 400 CONCORD PLAZA DR, SUITE 200 SPECIALTY ASC LLC 9499 W CHARLESTON BLVD, SUITE 250 CARBON SCHUYLKILL ENDOSCOPY CENTER,INC 400 SOUTH 9TH STREET, GLENWOOD SURGICAL CENTER LP 8945 MAGNOLIA AVE, SUITE 200 CENTRAL COAST FACIAL SURGERY CENTER 295 POSADA LN, SUITE B VISION CARE CENTER OF IDAHO LLC 3071 E FRANKLIN RD, SUITE 101 SMA Informatics Confidential CITY STOCKTON MIAMI MULLICA HILL PORTLAND HATTIESBURG IRVINE OPELOUSAS RENO TYLER HERMITAGE NORMAL RIVER FOREST PUYALLUP BALTIMORE PRESCOTT CHESTERTON WEST DES MOINES AMARILLO HOUSTON ATLANTA TRENTON OKLAHOMA CITY OVERLAND PARK SAN ANTONIO LAS VEGAS LEHIGHTON RIVERSIDE TEMPLETON MERIDIAN SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 15 ST ZIP CA FL NJ OR MS CA LA NV TX TN IL IL WA MD AZ IN IA TX TX GA MI OK KS TX NV PA CA CA ID 95219 33173 08062 97220 39402 92606 70570 89502 75701 37076 61761 60305 98372 21201 86301 46304 50266 79124 77074 30342 48183 73112 66215 78216 89117 18235 92503 93465 83642 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1083677595 1083686208 1083689749 1083691331 1083694319 1083695514 1083695860 1083701742 1083710784 1083711568 1083715148 1083736698 1083751143 1083758320 1083776108 1083780662 1083785398 1083796221 1083837926 1083851497 1083853659 1083855092 1083858609 1083859532 1083873277 1083877724 1083880298 1083884894 1083885081 PROVIDER NAME ADDRESS HANOVER OUTPATIENT SURGERY CENTER, L.P. 7016 LEE PARK RD, WICHITA ORTHOPAEDIC ASC LLC 7550 WEST VILLAGE CIRCLE, SUITE B GAINESVILLE FL ORTHOPAEDIC ASC LLC 4600 W NEWBERRY RD, PAINCARE MEDICAL GROUP, INC. 15701 ROCKFIELD BLVD, KINGS EYE CENTER MEDICAL GROUP, INC. 1395 W LACEY BLVD, CARTERET SURGERY CENTER PLLC 3714 GUARDIAN AVE, STE W ELMS ENDOSCOPY CENTER LLC 2671 ELMS PLANTATION BLVD, ARUNDEL AMBULATORY SURGERY CENTER, INC. 621 RIDGELY AVE, SUITE 101 RIVERSIDE ENDOSCOPY CENTER 606 24TH AVE S, SUITE 800 NATRAJ SURGERY CENTER INC. 555 WEST PUTNAM AVE, ASC SURGICAL VENTURES, LLC 2310 CALIFORNIA RD, HAMILTON SURGICAL SERVICES,P.A 994 WHITE HORSE AVE, HEMET URO-ENDO SURGICENTER 162 N SANTA FE ST, GRANITE PEAKS ENDOSCOPY,LLC 10150 SOUTH PETUNIA WAY, WESTSIDE MULTISPECIALTY SURGERY CENTER, LP 10921 WILSHIRE BLVD, #1104 THE PLASTIC SURGICENTRE 535 S PINE ST, OLYMPIA ORTHOPAEDIC ASSOCIATES PLLC 1800 COOPER POINT RD SW, BLDG. 9 SOUTHERN INDIANA SURGERY CENTER, LLC 2800 REX GROSSMAN BLVD, EDWARD D GLINSKI DO & ASSOCIATES INC 6922 S WESTERN AVE, GEORGIA UROLOGY GWINNETT ASC 720 OLD SNELLVILLE HWY, SUITE 100 TARRANT COUNTY SURGICAL CENTER LLC 914 LIPSCOMB ST, MARYLAND DIAGNOSTIC AND THERAPEUTIC ENDO CENTER, 621 RIDGELY LLC AVE, SUITE 105 GIULIO I. SCARZELLA M.D. P.A. 8630 FENTON STREET, SUITE 218 AVERA MCKENNAN 100 MAC LN, VENTURE AMBULATORY SURGERY CENTER LLC 16853 NE 2ND AVE, SUITE 400 CONYNGHAM VALLEY SURGICENTER PC 8 BROOKHILL SQ S, RENAISSANCE NORTHEAST SURGERY CENTER 18929 HIGHWAY 59 N, SOUTH COUNTY SURGICAL CENTER, LLC 12345 W BEND DR, SUITE 201 CHU SURGERY CENTER, LLC 9117 LYNDALE AVE S, SMA Informatics Confidential CITY ST MECHANICSVILLE VA WICHITA KS GAINESVILLE FL IRVINE CA HANFORD CA MOREHEAD CITY NC NORTH CHARLESTONSC ANNAPOLIS MD MINNEAPOLIS MN PORTERVILLE CA ELKHART IN HAMILTON NJ HEMET CA SANDY UT LOS ANGELES CA SPOKANE WA OLYMPIA WA BLOOMINGTON IN OKLAHOMA CITY OK LAWRENCEVILLE GA FORT WORTH TX ANNAPOLIS MD SILVER SPRING MD PIERRE SD NORTH MIAMI BEACHFL SUGARLOAF PA HUMBLE TX SAINT LOUIS MO BLOOMINGTON MN SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 16 ZIP 23111 67205 32607 92618 93230 28557 29406 21401 55454 93257 46514 08610 92543 84092 90024 99202 98502 47403 73139 30044 76104 21401 20910 57501 33162 18249 77338 63128 55420 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1083885537 1083898605 1083920151 1083938765 1083946149 1083948707 1093037152 1093705774 1093708315 1093710717 1093710873 1093716037 1093718157 1093723900 1093726309 1093726796 1093728800 1093731101 1093736795 1093739492 1093748527 1093748907 1093749376 1093750903 1093757379 1093758898 1093760019 1093764045 1093766289 PROVIDER NAME ADDRESS NORTH STATE SURGERY CENTERS, LP 2439 SONOMA ST, SUITE 102 MIDSOUTH INTERVENTIONAL PAIN INSTITUTE, LLC 122 AIRWAYS PL, HILLMOOR EYE SURGERY CENTER, LLC 1715 SE TIFFANY AVE, MEDICAL PARK TOWER SURGERY CENTER, LLC 1301 W 38TH ST, SUITE 109 METHODIST ENDOSCOPY CENTER LLC 515 NORTH 162 AVENUE, SUITE 201 PAIN CENTERS OF WISCONSIN-FRANKLIN, LLC 4202 W. OAKWOOD PART, FOUNDATION SURGICAL HOSPITAL OF GRAYSON COUNTY 3603 LLC, N CALAIS ST, SURGICENTER OF MANSFIELD, LTD. 1030 CRICKET LN, ASSOCIATED HEALTH SERVICES, INC. 120 E CARVER ST, ALASKA SPINE CENTER, LLC 4100 LAKE OTIS PKWY, SUITE 212 DUBLIN SURGICAL CENTER, LLC 5005 PARKCENTER AVE, NOVAMED SURGERY CENTER OF RICHMOND, LLC 2010 BREMO ROAD, SUITE 132 HAND SURGERY CENTER OF LOUISIANA LP 3434 HOUMA BLVD, STE 300 CARTER REAL ESTATE PROPERTIES INC 375 MUNICIPAL DR, SUITE 214 INSIGHT SURGERY & LASER CENTER, LLC 3973 NORTHPOINTE DR, ROCKY MOUNTAIN EYE SURGERY CENTER INC 700 WEST KENT, SITTILERK TRIKALSARANSUKH 7114 W HOOD PL, EAST BRUNSWICK SURGERY CENTER LLC 561 CRANBURY ROAD, HATTIESBURG CLINIC PA 415 S 28TH AVE, MICHAEL SODA, INC. 195 ROUTE 46, SUITE 202 WOODHAMS LASER AND LENS IMPLANT CENTER LLC 1140 HAMMOND DR NE, E5100 SPECIALISTS IN UROLOGY SURGERY CENTER, LLC 990 TAMIAMI TRL N, SUITE 100 UROLOGY SURGERY CENTER 139 SUMMERPLACE DR, FRANKLIN SURGICAL CENTER, LLC 175 MORRISTOWN RD, ASC DEVELOPMENT COMPANY, LLC 75 THOMAS JOHNSON DR, SUITE C MADERA SURGERY CENTER INC. 1015 W YOSEMITE AVE, OCEAN COUNTY EYE ASSOCIATES, PC 18 MULE RD, GASTROENTEROLOGY OF INDIANAPOLIS PC 1120 AAA WAY, CAPITAL WOMENS CARE LLC 61 THOMAS JOHNSON DR, SMA Informatics Confidential CITY REDDING SOUTHAVEN PORT ST LUCIE AUSTIN OMAHA FRANKLIN SHERMAN MANSFIELD DURHAM ANCHORAGE DUBLIN RICHMOND METAIRIE RICHARDSON ZANESVILLE MISSOULA KENNEWICK EAST BRUNSWICK HATTIESBURG MINE HILL ATLANTA NAPLES WEST COLUMBIA BASKING RIDGE FREDERICK MADERA TOMS RIVER CARMEL FREDERICK SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 17 ST ZIP CA MS FL TX NE WI TX OH NC AK OH VA LA TX OH MT WA NJ MS NJ GA FL SC NJ MD CA NJ IN MD 96001 38671 34952 78705 68118 53132 75090 44906 27704 99508 43017 23226 70006 75080 43701 59801 99336 08816 39401 07803 30328 34102 29169 07920 21702 93637 08755 46032 21702 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1093766735 1093771073 1093771909 1093772667 1093772840 1093778052 1093779951 1093781601 1093786501 1093792244 1093795031 1093799405 1093800807 1093802225 1093824872 1093830325 1093836652 1093842270 1093847311 1093867830 1093876922 1093885675 1093891004 1093895757 1093897225 1093921298 1093922189 1093927725 1093932287 PROVIDER NAME ADDRESS CITY TAMPA BAY SURGERY CENTER ASSOCIATES,LTD 11811 N DALE MABRY HWY, TAMPA ARTEL LLC 521 S HAM LN, SUITE F LODI FOUNDATION SURGERY AFFILIATE OF NORTHWEST OKLAHOMA 14000 N PORTLAND LLC AVE, SUITE 100 OKLAHOMA CITY MEDICAL PARTNERS SURGERY CENTER LLC 4545 EMERSON EXPRESSWAY, JACKSONVILLE THE SURGERY CENTER AT JENSEN BEACH 3995 NW GOLDEN ROD ROAD, JENSEN BEACH MIDWEST EYE CONSULTANTS, P.C. 7747 W JEFFERSON BLVD, SUITE B FORT WAYNE EYE SURGERY AND LASER CLINIC, INC. 500 LAKE CONCORD RD, CONCORD GI DIAGNOSTIC CENTER 1100 ANDRE ST, STE 300 NEW IBERIA THE SURGERY CENTER OF EASTON LP 510 IDLEWILD AVE, SUITE 110 EASTON CJ ELMWOOD PARTNERS L P 3801 S ELMWOOD AVE, SIOUX FALLS AOC SURGERY CENTER 10201 KANIS RD, LITTLE ROCK ORTHOARKANSAS SURGERY CENTER LLC 10301 KANIS RD, LITTLE ROCK CENTRAL DELAWARE ENDOSCOPY UNIT 644 S QUEEN ST, SUITE 105 DOVER ENDOSCOPY CENTER OF CHULA VISTA 681 3RD AVE, SUITE B CHULA VISTA DIGESTIVE CARE OF EVANSVILLE PC 801 SAINT MARYS DR, SUITE 110 W EVANSVILLE HONOLULU SPINE CENTER, LLC 500 ALA MOANA BLVD, SUITE 1-301 HONOLULU NORTHWEST FOOT & ANKLE ASSOCIATES 1545 NE 65TH ST, SEATTLE NORTH GEORGIA EYE SURGERY CENTER 1016 THOMPSON BRIDGE RD, GAINESVILLE SURGICAL EYE CARE CENTER, INC 655 LAGUNA DR, CARLSBAD SURGICARE SURGICAL ASSOCIATES OF FAIRLAWN, LLC 15-01 BROADWAY, STE 1 FAIR LAWN SANFORD HEALTH OF NORTHERN MINNESOTA 1233 34TH ST NW, BEMIDJI RANCHO MIRAGE PAIN CENTER 39300 BOB HOPE DR, BANNAN BUILDING, SUITE 1203 RANCHO MIRAGE SUNSET SURGICAL CENTER INC. 222 N. SUNSET AVE. #C, WEST COVINA PATRICK D REEVES MDPA 4315 28TH STREET, SUITE 2 LUBBOCK FIRST CHOICE SURGERY CENTER OF BATON ROUGE, LLC505 E AIRPORT AVE, BATON ROUGE INDIANA SKIN CANCER AMBULATORY SURGICAL CENTER 701 LLC EAST COUNTY LINE ROAD, STE 208 GREENWOOD CHARLES RIVER ENDOSCOPY LLC 297 UNION AVE, FRAMINGHAM FOOTHILL RANCH SURGERY & MEDICAL CENTER, INC. 27462 PORTOLA PARKWAY, SUITE 101 FOOTHILL RANCH VERO BEACH OUTPATIENT SURGICAL CENTER LLC 1255 37TH ST, SUITE E VERO BEACH SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 18 ST ZIP FL CA OK FL FL IN NC LA MD SD AR AR DE CA IN HI WA GA CA NJ MN CA CA TX LA IN MA CA FL 33618 95242 73134 32207 34957 46804 28025 70563 21601 57105 72205 72205 19904 91910 47714 96813 98115 30501 92008 07410 56601 92270 91790 79410 70806 46143 01702 92610 32960 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1093932337 1093950925 1093960395 1093960700 1093974602 1093985525 1093993727 1104006006 1104055425 1104067115 1104082692 1104087089 1104811918 1104819424 1104822808 1104829597 1104833839 1104835776 1104850148 1104850312 1104851088 1104857523 1104866904 1104868561 1104877976 1104880723 1104883248 1104883784 1104883990 PROVIDER NAME ADDRESS CITY FAMILY FOOTCARE 1900 E NORTHERN PKWY, SUITE 204 BALTIMORE BATESVILLE ENDOSCOPY CENTER, LLC 1700 HARRISON ST STE S, BATESVILLE GRAYSTONE EYE SURGERY CENTER LLC 2424 CENTURY PL SE, HICKORY PROLIANCE SURGEONS, INC., P.S. 510 8TH AVENUE NORTHEAST, SUITE 110 ISSAQUAH EVERGREEN ENDOSCOPY CENTER, LLC 2400 TAMARACK AVENUE, SUITE 100 SOUTH WINDSOR SURGERY CENTER OF CORAL GABLES LLC 2645 DOUGLAS RD, STE 400 MIAMI CAROLINA MOUNTAIN GASTROENTEROLOGY ENDOSCOPY 1032CENTER, FLEMING LLCST, HENDERSONVILLE PACIFIC ENDOSCOPY & SURGERY CENTER LP 17815 NEWHOPE ST, SUITE R FOUNTAIN VALLEY WARTBURG SURGERY CENTER, LLC 1236 KNOXVILLE HWY, WARTBURG PALO ALTO MEDICAL FOUNDATION FOR HEALTHCARE, 795 RESEARCH EL CAMINO & EDUCATION REAL, PALO ALTO OLD TESSON SURGERY CENTER, L.P. 12639 OLD TESSON RD, SUITE 130 SAINT LOUIS CONGRESS MEDICAL SURGERY CENTER LLC 800 S RAYMOND AVE, PASADENA NORTH SHORE SURGICAL CENTER A WI 7007 N RANGE LINE RD, MILWAUKEE VALLEY AMBULATORY SURGERY CENTER 2210 DEAN ST, ST CHARLES AGMG ENDOSCOPY CENTER 1211 W LA PALMA AVE, STE 301 ANAHEIM HOGAN SURGICAL CENTER 351 COWAN RD, GULFPORT ROCHESTER SURGERY CENTER, P.C. 405 BARCLAY CIR, ROCHESTER HILLS CENTRAL OHIO GASTROENTEROLOGY ASSOCIATES,LLC 99 NORTH BRICE ROAD, SUITE 160 COLUMBUS JOHNSTON AMBULATORY SURGERY CENTER LLC 4909 S 118TH ST, NEBRASKA LASER EYE ASSOCIATES OMAHA MONTEREY PENINSULA SURGERY CENTER LLC 966 CASS ST STE 150, MONTEREY MARYLAND SURGEONS CENTER OF COLUMBIA 11055 LITTLE PATUXENT PKY, SUITE L-6 COLUMBIA SURGERY CENTER OF ST. JOSEPH, LLC 3201 ASHLAND AVE, SAINT JOSEPH SOUTHWESTERN EYE CENTER 2650 E SHOW LOW LAKE RD, SUITE 2 SHOW LOW REGIONAL SURGERY CENTER, P.C. 1531 W 32ND ST, SUITE 107 JOPLIN VICTOR R. MICHALAK, MD 295 NE GILMAN BLVD, SUITE 101 ISSAQUAH WNC EYE SURGERY CENTERS INC 8B MEDICAL PARK DR, ASHEVILLE THE SURGICAL CENTER AT TENAYA LP 2650 N TENAYA WAY, LAS VEGAS FORT WORTH ENDOSCOPY CENTER GENERAL PARTNERSHIP 900 WEST MAGNOLIA AVE, # 101 FORT WORTH SURGICARE AMBULATORY CENTER, INC. 3250 WESTCHESTER AVE, SUITE 102 BRONX SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 19 ST ZIP MD AR NC WA CT FL NC CA TN CA MO CA WI IL CA MS MI OH NE CA MD MO AZ MO WA NC NV TX NY 21239 72501 28602 98029 06074 33133 28791 92708 37887 94301 63128 91105 53209 60175 92801 39507 48307 43213 68137 93940 21044 64506 85901 64804 98027 28803 89128 76104 10461 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1104894369 1104896422 1104896430 1104897644 1104899855 1104907328 1104909068 1104928290 1104930411 1104933696 1104947357 1104962315 1104974310 1104987957 1104990050 1104993385 1104993799 1104996768 1104998558 1114012309 1114025137 1114025608 1114034006 1114035946 1114043858 1114057023 1114072766 1114081635 1114091501 PROVIDER NAME ADDRESS VALLEY OUTPATIENT SURGICAL CENTER INC 160 W UNIVERSITY, STE 1 NORTH IDAHO PAIN CENTER LLC 2003 KOOTENAI HEALTH WAY, STE 320 BROOKLYN ENDOSCOPY AND AMBULATORY SURGERY CENTER, 1630 E 14TH LLC ST, FOX VALLEY ORTHOPAEDIC ASSOICATES, S.C. 2525 KANEVILLE RD, SOUTHFIELD ENDOSCOPY ASC LLC 264 W MAPLE RD, SUITE 100 ANDREWS INSTITUTE ASC LLC 1040 GULF BREEZE PARKWAY, SUITE 100 WESTSIDE MEDICAL CENTER INC 1700 WESTWOOD BLVD FL 1, CS CENTER, LLC 3621 RANDOLPH RD, SUITE 200 PINECREST EYE CENTER, INC 401 E PINECREST DR UNIT A, WEST LAKES SURGERY CENTER LLC 12499 UNIVERSITY AVE, SUITE 100 TARRANT COUNTY SURGERY CENTER LP 3501 MATLOCK ROAD, RALEIGH MEDICAL GROUP, PA 3521 HAWORTH DR, NORTHWEST SURGERY CENTER, LLP 11111 RESEARCH BOULEVARD, SUITE 350 EYE SURGERY CENTER OF AUGUSTA, LLC 3658 J DEWEY GRAY CIR, FOUR CORNERS AMBULATORY SURGERY CENTER, LLC 2300 E 30TH ST BLDG A, SURGERY CENTER OF BLUE VALLEY, INC 7230 WEST 129TH STREET, SURGERY CENTER OF FORT COLLINS 1100 E PROSPECT RD, GREATER DAYTON SURGERY CENTER LLC 1625 DELCO PARK DR., AMERICAN EYE SURGERY CENTER, INC. 651 S MILLEDGE AVE, CAPE SURGERY CENTER LP 1941 WALDEMERE ST, FAMILY MEDCENTERS, P.A. 1101 N ROCK RD, ELLICOTT CITY AMBULATORY SURGERY CENTER, LLLP 2850 NORTH RIDGE ROAD, SURGICAL CENTER AT MILLBURN, LLC 37 E WILLOW ST, LAFAYETTE GENERAL ENDOSCOPY CENTER INC 1211 COOLIDGE BLVD, SUITE 302 AZUSA SURGERY CENTER INC 830 S. CITRUS AVE, SUITE 101 CROSSROADS SURGERY CENTER 1575 20TH ST NW STE 203, LOWRY SURGERY CENTER, LLC 8101 E LOWRY BLVD, SUITE 100 NORTH GEORGIA OUTPATIENT SURGERY CENTER 795 RED BUD RD NE, THE CATARACT & LASER CTR WEST 171 INTERSTATE DR, SUITE #1 SMA Informatics Confidential CITY ST ZIP MESA COEUR D ALENE BROOKLYN GENEVA TROY GULF BREEZE LOS ANGELES CHARLOTTE MARSHALL CLIVE ARLINGTON RALEIGH AUSTIN AUGUSTA FARMINGTON OVERLAND PARK FORT COLLINS DAYTON ATHENS SARASOTA DERBY ELLICOTT CITY MILLBURN LAFAYETTE AZUSA FARIBAULT DENVER CALHOUN WEST SPRINGFIELD AZ ID NY IL MI FL CA NC TX IA TX NC TX GA NM KS CO OH GA FL KS MD NJ LA CA MN CO GA MA 85201 83814 11229 60134 48084 32561 90024 28211 75670 50325 76015 27609 78759 30909 87401 66213 80525 45420 30605 34239 67037 21043 07041 70503 91702 55021 80230 30701 01089 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 20 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1114114352 1114126596 1114139060 1114140019 1114168309 1114171097 1114177417 1114196151 1114253093 1114902871 1114905866 1114906393 1114907920 1114912102 1114920691 1114921541 1114922192 1114923471 1114924651 1114924685 1114926714 1114929411 1114929957 1114942315 1114951365 1114952025 1114952686 1114957891 1114962321 PROVIDER NAME ADDRESS CITY ST THE ORLANDO OAKWATER FL ENDOSCOPY ASC LLC 3885 OAKWATER CIR, SUITE B ORLANDO FL CORAL RIDGE OUTPATIENT CENTER LLC 5301 N DIXIE HWY, SUITE 100 OAKLAND PARK FL AP SURGERY CENTER, LLC 1692 OAK TREE RD, EDISON NJ KOKOPELLI EYE CARE PC 412 WHIPPLE ST, PRESCOTT AZ MEMORIAL CARE SURGICAL CENTER AT ORANGE COAST, 18111 LLC BROOKHURST STREET, 3200 SUITE FOUNTAIN VALLEY CA PINNACLE SURGERY CENTER OF PEORIA 6970 W THUNDERBIRD RD, PEORIA AZ NISENFELD & CHILTON, MD PA 86 THOMAS JOHNSON CT, FREDERICK MD SUMMIT AMBULATORY SURGICAL CENTER LLC 826 WASHINGTON RD, SUITE 215 WESTMINSTER MD CRESCENT CITY SURGERY CENTER LLC 220 E VIRGINIA ST, EVANSVILLE IN EYE SURGERY CENTER OF HINSDALE 950 N YORK RD, SUITE 203 HINSDALE IL COLLIER SURGERY CENTER,LLP 800 GOODLETTE RD N, SUITE #120 NAPLES FL PHYSICIANS SURGERY CENTER LLC 3327 S DIVISION ST, BLYTHEVILLE AR MIAMI ASC LP 5101 SW 8TH ST, 1ST FLOOR CORAL GABLES FL BOISE ENDOSCOPY CENTER, LLC 425 W BANNOCK ST, BOISE ID NOVAMED SURGERY CENTER OF BEDFORD, LLC 105 RIVERWAY PLACE, BEDFORD COMMONS, BUILDING BEDFORD #1 NH SACRAMENTO SURGERY CENTER ASSOC., LP 1800 TRIBUTE RD, STE 100 SACRAMENTO CA GASTROENTEROLOGY ASSOCIATES ENDOSCOPY CENTER, 1825 LLCSONOMA ST, REDDING CA SURGICARE CENTER OF IDAHO 360 E MALLARD DR, STE 125 BOISE ID CARILION SURGERY CENTER NEW RIVER VALLEY, LLC 2901 LAMB CIR, CHRISTIANSBURG VA SOUTH KANSAS CITY SURGICAL CENTER 10730 NALL AVE, SUITE 100 OVERLAND PARK KS ENDOSCOPY CENTER OF DAYTON LTD 4200 INDIAN RIPPLE RD, BEAVERCREEK OH HEART OF AMERICA SURGERY CENTER, LLC 8935 STATE AVE, KANSAS CITY KS OPHTHALMIC OUTPATIENT SURGERY CENTER PARTNERS, 550LLC CONNELLS PARK LN, BATON ROUGE LA ACCESS MEDICAL CENTER, LLC 4216 OLD GREEN BAY RD, MOUNT PLEASANT WI DOCTORS SURGERY CENTER, PA 303 W POLK, SUITE B WEST MEMPHIS AR ESEC LLC 3705 NW 63RD ST, STE 100 OKLAHOMA CITY OK NORTH RICHLAND HILLS ENDOSCOPY CENTER LLC 7640 NE LOOP 820, SUITE 96 NORTH RICHLAND HILLS TX COLLETON AMBULATORY CARE, LLC 304 MEDICAL PARK DR, WALTERBORO SC BANNER ESTRELLA SURGERY CENTER 9301 W THOMAS RD, PHOENIX AZ SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 21 ZIP 32806 33334 08820 86301 92708 85381 21702 21157 47711 60521 34102 72315 33134 83702 03110 95815 96001 83706 24073 66211 45440 66112 70806 53401 72301 73116 76180 29488 85037 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1114965803 1114976651 1114980166 1114980646 1114984523 1114984549 1114985611 1114990231 1114990736 1114996774 1124022595 1124026422 1124026638 1124029384 1124031406 1124055165 1124057872 1124058946 1124068549 1124069273 1124070305 1124071550 1124075940 1124079843 1124083076 1124083787 1124084843 1124086608 1124086863 PROVIDER NAME ADDRESS ADVANCED ENDOSCOPY AND SURGICAL CENTER, L.L.C.142 ROUTE 35, SUITE 101 CORAL SPRINGS AMBULATORY SURGERY CENTER LLC 1725 UNIVERSITY DRIVE, 2ND FLOOR NEW PORT RICHEY SURGERY CENTER LTD 5415 GULF DR, BRANDON SURGI-CENTER LTD 711 S PARSONS AVE, AUGUSTA UROLOGY SURGICENTER LLC 811 13TH ST, SUITE 17 GREAT BASIN SURGERY CENTER 855 GOLFCOURSE RD, ALOHA SURGICAL CENTER LP 239 HOOHANA ST, SURGERY CENTER OF MIDDLE TENNESSEE LLC 1050 N JAMES CAMPBELL BLVD, SUITE 120 TULSA OK OPHTHALMOLOGY ASC LLC 7191 S YALE AVE, REDBIRD SQUARE ENDOSCOPY CENTER LLC 3107 W CAMP WISDOM RD, #189 THE OUTPATIENT SURGERY CENTER OF CEDAR RAPIDS,1075 LLC 1ST AVE SE, SURGERY CENTER OF CHARLESTON 1849 SAVAGE RD, MARION HEALTH SYSTEMS LLC 1050 DELAWARE AVE, LGH-A/GOLF ASTC, LLC 8901 GOLF RD, SAN FRANCISCO ENDOSCOPY CENTER LLC 3468 CALIFORNIA STREET, SALINA UROLOGY CARE CENTER LLC 501 SOUTH SANTA FE, SUITE 360 STERLING RIDGE AMBULATORY SURGERY PARTNERS 6701 LAKE WOODLANDS DRIVE, LUTHERVILLE SURGICENTER, LLC 1400 FRONT AVE, SUITE 100A CROWN VALLEY SURGERY CENTER 26921 CROWN VALLEY PKWY, 110 OPTICARE EYE HEALTH CENTERS, INC. 87 GRANDVIEW AVE, DUPAGE ORTHOPAEDIC SURGERY CENTER 27650 FERRY RD, SUITE 140 ANDERSEN EYE SURGERY CENTER LLC 5161 CARDINAL PARK DRIVE, ADVANCE ENDOSCOPY CENTER LLC 742 S GOVERNORS AVE, SUITE 2 MOUNTAINWEST SURGICAL CENTER LLC 1551 S RENAISSANCE TOWNE DR, SUITE 200 NORTH GARLAND SURGERY CENTER, LLP 7150 NORTH GEORGE BUSH HIGHWAY, SUITE 101 NORTHLAKE SURGICAL CENTER, LP 1491 MONTREAL RD, ST CLOUD OUTPATIENT SURGERY LTD 1526 NORTHWAY DR, LUTHERAN CAMPUS ASC LLC 3455 LUTHERAN PKWY, SUITE 150 MOORESVILLE ENDOSCOPY CENTER LLC 1215 HADLEY RD, STE 101 SMA Informatics Confidential CITY EATONTOWN CORAL SPRINGS NEW PORT RICHEY BRANDON AUGUSTA ELKO KAHULUI COLUMBIA TULSA DALLAS CEDAR RAPIDS CHARLESTON MARION DES PLAINES SAN FRANCISCO SALINA THE WOODLANDS LUTHERVILLE MISSION VIEJO WATERBURY WARRENVILLE SAGINAW DOVER BOUNTIFUL GARLAND TUCKER SAINT CLOUD WHEAT RIDGE MOORESVILLE SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 22 ST ZIP NJ FL FL FL GA NV HI TN OK TX IA SC OH IL CA KS TX MD CA CT IL MI DE UT TX GA MN CO IN 07724 33071 34652 33511 30901 89801 96732 38401 74136 75237 52402 29407 43302 60016 94118 67401 77382 21093 92691 06708 60555 48604 19904 84010 75044 30084 56303 80033 46158 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1124091897 1124092945 1124093588 1124098512 1124099635 1124107198 1124115092 1124116264 1124125109 1124125331 1124125604 1124131636 1124135918 1124136437 1124142781 1124150875 1124173596 1124180427 1124181128 1124186663 1124187562 1124197165 1124213376 1124247846 1124261771 1124277058 1124285515 1124296173 1134101256 PROVIDER NAME ADDRESS CITY PADUCAH OPHTHALMOLOGY ASC LLC 100 MEDICAL CENTER DR, PADUCAH ROCKLEDGE FL ENDOSCOPY ASC LLC 1974 ROCKLEDGE BLVD, SUITE 102 ROCKLEDGE UROLOGY SURGERY CENTER OF SAVANNAH, LLLP 230 E DERENNE AVE, SAVANNAH WESMARK AMBULATORY SURGERY CENTER 420 W WESMARK BLVD, SUMTER HUNTINGTON SURGERY CENTER LIMITED PARTNERSHIP1201 HAL GREER BLVD, HUNTINGTON CENTRAL OHIO ENDOSCOPY CENTER, LLC 3800 OLENTANGY RIVER RD, COLUMBUS WASHINGTON SQUARE ENDOSCOPY CENTER, LLC 230 W WASHINGTON SQ, 4TH FL PHILADELPHIA BOSTON EYE SURGERY & LASER CENTER 50 STANIFORD ST, LOBBY LEVEL BOSTON INSTITUTE FOR LOW BACK CARE LLC 4344 20TH AVE S, FARGO AMBULATORY SURGERY ASSOCIATES, LLC 3600 CAPITAL AVE SW, SUITE 101 BATTLE CREEK MURDOCK AMBULATORY SURGERY CENTER LLC 1400 EDUCATION WAY, PORT CHARLOTTE CENTRAL CONNECTICUT ENDOSCOPY CENTER 440 NEW BRITAIN AVE, PLAINVILLE EASTSIDE SURGERY CENTER INC 10918 EAST FWY, HOUSTON CARROLL FOOTWORKS SURGERY CENTER ,LLC 4 GLYNDON DR, SUITE 2 A REISTERSTOWN MCLAREN ASC OF FLINT, LLC 501 SOUTH BALLENGER HIGHWAY, FLINT FORT SMITH CATARACT & LASER CENTER 9001 JENNY LIND RD, FORT SMITH GASTROENTEROLOGY ASSOCIATES INC 4665 BELPAR ST NW, CANTON LANCASTER PA ENDOSCOPY ASC LP 2112 HARRISBURG PIKE, SUITE 323 LANCASTER SOUTH JERSEY SURGICAL CENTER, LLC 150 CENTURY PKWY, SUITE C MOUNT LAUREL SOUTH TAMPA SURGERY CENTER 3600 W KENNEDY BLVD, TAMPA IRVINE MULTI SPECIALTY SURGICAL CARE 4900 BARRANCA PKWY, SUITE 104 IRVINE MCALLEN SURGICAL SPECIALTY CENTER LTD 1309 E RIDGE RD, MCALLEN UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION 2000 6TH AVE SOUTH, BIRMINGHAM ADVANCED SURGICAL ARTS CENTER LLC 1150 AMBOY AVE, EDISON KHS AMBULATORY SURGERY CENTER, LLC 405 HURFFVILLE CROSS KEYS RD, SUITE 210 SEWELL DIGESTIVE HEALTHCARE OF GEORGIA ENDOSCOPY CENTER 134 MOUNTAINSIDE MOUNTAINSIDE VILLAGE PARKWAY, BLDG 500JASPER SURGICENTER OF EASTERN CAROLINA LLC 102 BETHESDA DR, GREENVILLE TREASURE COAST SURGICAL CENTER INC 1811 S 25TH ST, FORT PIERCE CAMPUS EYE GROUP ASC 1700 WHITEHORSE HAMILTON SQUARE RD, HAMILTON SQ SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 23 ST ZIP KY FL GA SC WV OH PA MA ND MI FL CT TX MD MI AR OH PA NJ FL CA TX AL NJ NJ GA NC FL NJ 42003 32955 31405 29150 25701 43214 19106 02114 58103 49015 33948 06062 77029 21136 48532 72908 44718 17604 08054 33609 92604 78503 35233 08837 08080 30143 27834 34947 08690 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1134109523 1134114119 1134120280 1134125719 1134126097 1134127426 1134135213 1134140122 1134157225 1134177256 1134179153 1134182546 1134182660 1134183056 1134183908 1134185564 1134191331 1134202740 1134215338 1134218167 1134233414 1134241946 1134259179 1134262868 1134271901 1134275688 1134283005 1134288186 1134290182 PROVIDER NAME ADDRESS CITY ST MIDWEST SURGERY CENTER, L.C. 825 N HILLSIDE ST, SUITE 100 WICHITA KS EVANGELICAL AMBULATORY SURGICAL CENTER, LLC 210 JPM RD, LEWISBURG PA MARYVILLE SURGICAL CENTER 763 E LAMAR ALEXANDER PKWY, MARYVILLE TN SURGICAL CENTER OF YORK, INC 1750 5TH AVE, FL 1 YORK PA PHYSICIAN'S SURGERY CENTER OF KNOXVILLE LLC 1819 CLINCH AVE, STE 206 KNOXVILLE TN DELAWARE VALLEY MEDICAL MANAGEMENT 100 PRESIDENTIAL BLVD, 4TH FLOOR BALA CYNWYD PA MORGANTON EYE PHYSICIANS SURGERY CENTER 335 E PARKER RD, MORGANTON NC ARTHROSCOPIC SURGERY CENTER, LLC 277 ALTENHOFEN DR, APPLETON WI OCEAN SPRINGS SURGICAL AND ENDOSCOPY CENTER 3301 BIENVILLE BLVD, OCEAN SPRINGS MS SPRING CREEK SURGERY CENTER LLC 3633 CENTRAL AVENUE, SUITE H HOT SPRINGS AR ASP OF DICKINSON DBA MAINLAND SURGERY CENTER 3750 MEDICAL PARK DRIVE, SUITE 300 DICKINSON TX JACKSONVILLE SURGERY CENTER, LTD 4253 SALISBURY RD, JACKSONVILLE FL CORAL SPRINGS SURGI-CENTER LTD 967 N UNIVERSITY DR, CORAL SPRINGS FL TOPEKA SURGERY CENTER 3630 SW FAIRLAWN RD, TOPEKA KS NORTH PALM BEACH COUNTY SURGERY CENTER LLC 4000 BURNS RD, PALM BEACH GARDENS FL DECATUR DIGESTIVE DISEASE CENTER LLC 2 MEMORIAL DR SUITE 102, PHYSICIAN PLAZA WEST DECATUR IL THE OKLAHOMA CITY ASC LLC 13313 N MERIDIAN AVE, BUILDING B OKLAHOMA CITY OK PRESIDENTIAL SURGICENTER INC 1501 PRESIDENTIAL WAY, SUITE 9 WEST PALM BEACH FL THE SPRINGFIELD EYE SURGERY AND LASER CENTER 105 MORRIS AVE, SPRINGFIELD NJ WASHINGTON ORTHOPAEDIC CENTER, INC 1900 COOKS HILL RD, CENTRALIA WA ENDOSCOPY CENTER OF BATON ROUGE 6615 PERKINS RD, BATON ROUGE LA BERKS AMBULATORY SURGERY CENTER 50 COMMERCE DR, WYOMISSING PA GROSSNICKLE EYE CENTER, INC. 2251 DUBOIS DR, WARSAW IN NORTH SHORE SAME DAY SURGERY LLC 815 HOWARD ST, EVANSTON IL ENCINO SURGICAL INSTITUTE,A.M.C 16260 VENTURA BLVD STE 210, ENCINO CA OUTPATIENT CENTER FOR FOOT SURGERY 730 S 8TH ST, GRIFFIN GA KAISER FOUNDATION HOSPITALS 5125 SKYLINE RD S, SKYLINE MEDICAL OFFICE SALEM OR MERCY NORTH AMBULATORY SURGERY CENTER, LLC 800 E 1ST ST, SUITE 1000 ANKENY IA PORT TOWNSEND SURGICAL ASSOC 1010 SHERIDAN STREET, SUITE 201 PORT TOWNSEND WA SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 24 ZIP 67214 17837 37804 17403 37916 19004 28655 54913 39564 71913 77539 32216 33071 66614 33410 62526 73120 33401 07081 98531 70808 19610 46580 60202 91436 30224 97306 50021 98368 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1134293814 1134300080 1134318983 1134320831 1134327182 1134329956 1134342082 1134354533 1134363690 1144200163 1144206665 1144213547 1144216847 1144219908 1144220096 1144221375 1144225608 1144228883 1144234543 1144252859 1144255415 1144259870 1144265539 1144275629 1144275900 1144283003 1144283292 1144283649 1144287350 PROVIDER NAME ADDRESS PLYMOUTH LASER CENTER, P.C. 40 INDUSTRIAL PARK RD, METAIRIE LA ENDOSCOPY ASC LLC 3333 KINGMAN ST, SUITE 202 LAGUNA NIGUEL SURGERY CENTER LLC 27882 FORBES RD, SUITE 203 NORTH MISSISSIPPI PAIN MANAGEMENT CENTER 4381 SOUTH EASON BLVD, SUITE 203 MD SURGICAL SOLUTIONS, LLC 15477 VENTURA BLVD, SEATTLE SKIN CANCER CENTER, PLLC 1229 MADISON ST, SUITE 1090 AURORA MEDICAL GROUP, INC. 2307 S BUSINESS DR, JUSTIN H. PIASECKI, M.D., PLLC 11511 CANTERWOOD BLVD NW, SUITE 310 METRO HEALTH ASC LLC 555 MIDTOWNE ST NE, SUITE 200 ABILENE ASC LP 1249 AMBLER AVE, SUITE 100 MOBERLY SURGERY CENTER LLC 2103 SILVA LN, DERMATOLOGY & COSMETIC SURGERY CENTER PC 100 N WREN DR, RIVERPARK AMBULATORY SURGERY CENTER 107 FRONT ST, STE.1100 HSC SURGICAL ASSOCIATES 2925 VERNON PL, SUITE 101 N W EYE SURGEONS P C 16404 SMOKEY POINT BLVD, #303 WHITE MARSH FOOT & ANKLE SURGERY CENTER L.L.C.8114 SANDPIPER CIR, SUITE 206 HOPE SQUARE SURGICAL CENTER LLC 39700 BOB HOPE DRIVE, SUITE 301 SHANKLIN PLASTIC SURGERY CENTER 900 MOHAWK ST, SUITE A YAKIMA AMBULATORY SURGICAL CENTER 111 S 11TH AVE, STE 220 OBSTETRICS AND GYNECOLOGY ASSOCIATES AMBULATORY 1400 SURGERY FOREST GLEN CENTER RD, SUITE 500 AMBULATORY PLASTIC SURGERY CENTER ASSOC. CHTD9715 MEDICAL CENTER DR, SUITE 315 BLACKHAWK SURGERY CENTER, A MEDICAL CORP. 3601 BLACKHAWK PLAZA CIRCLE, MIDLAND SURGICAL CENTER LLC 2120 MIDLANDS CT, FOUNDATION SURGERY AFFILIATE OF FORT WAYNE, LLC 8004 CARNEGIE BLVD., MT. LAUREL ENDOSCOPY CENTER 15000 MIDLANTIC DR, SUITE 110 NORTH MIAMI BEACH SURGERY CENTER LIMITED PARTNERSHIP 120 NE 167TH ST, LAFAYETTE SURGERY CENTER LIMITED PARTNERSHIP 4630 AMBASSADOR CAFFERY PKWY, SUITE 101 SKY RIDGE SURGERY CENTER LP 10099 RIDGEGATE PKWY, SUITE 100 NORTH SHORE CATARACT & LASER CENTER, LLC 91 MONTVALE AVE, SMA Informatics Confidential CITY ST PLYMOUTH MA METAIRIE LA LAGUNA NIGUEL CA TUPELO MS SHERMAN OAKS CA SEATTLE WA SHEBOYGAN WI GIG HARBOR WA GRAND RAPIDS MI ABILENE TX MOBERLY MO PITTSBURGH PA VIDALIA LA CINCINNATI OH ARLINGTON WA NOTTINGHAM MD RANCHO MIRAGE CA SAVANNAH GA YAKIMA WA SILVER SPRING MD ROCKVILLE MD DANVILLE CA SYCAMORE IL FORT WAYNE IN MOUNT LAUREL NJ NORTH MIAMI BEACHFL LAFAYETTE LA LONE TREE CO STONEHAM MA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 25 ZIP 02360 70006 92677 38801 91403 98104 53081 98332 49503 79601 65270 15243 71373 45219 98223 21236 92270 31419 98902 20902 20850 94506 60178 46804 08054 33162 70508 80124 02180 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1144287665 1144290776 1144291261 1144291923 1144293309 1144297003 1144317470 1144325838 1144326307 1144331760 1144333881 1144334962 1144351966 1144370594 1144370784 1144373648 1144380593 1144382284 1144390725 1144391178 1144406927 1144416587 1144467804 1144482290 1144482753 1144491614 1144496613 1144497264 PROVIDER NAME ADDRESS CHANNEL ISLANDS SURGICENTER LP 2300 WANKEL WAY, BOX 6225 WEST TACOMA SURGERY CENTER, LLC 1628 S MILDRED ST, SUITE 110 OCEAN SURGICAL PAVILION 1907 HIGHWAY 35, SUITE 9 INTERVENTIONAL THERAPEUTICS INSTITUTE, LLC 5102 N DAVIS HWY, SUNCOAST ENDOSCOPY ASC LP 3621 E FOREST DR, TACOMA ENDOSCOPY CENTER 1112 6TH AVE, 200 BOICE WILLIS CLINIC PA 901 N WINSTEAD AVE, SONORA SURGERY CENTER INC 905 MORNING STAR DR, OLD MOULTRIE SURGICAL CENTER INC 2460 OLD MOULTRIE ROAD, SUITE 3 RESURGENS SURGERY CENTER, LLC 5671 PEACHTREE DUNWOODY RD NE, STE #800 NORTH SCOTTSDALE AMBULATORY SURGERY CENTER, 9439 LLC E IRONWOOD SQUARE DR STE 100, HEIGHTS SURGERY CENTER, INC. 427 W 20TH ST, SUITE 102 MARK E SPIER, DPM, PA 11710 REISTERSTOWN RD, SUITE 208 THIRD STREET SURGERY CENTER LP 420 E 3RD ST, SUITE 110 BELLINGHAM EAR NOSE & THROAT & FACIAL PLASTIC SURGERY, 2940 SQUALICUM INC PKWY STE 203, PRINCETON SURGERY CENTER, LLC 2030 SHERMAN DR, SURGERY CENTER OF ALLENTOWN LP 250 CETRONIA ROAD, SUITE 300 PASADENA SURGERY CENTER LLC 6945 FIRST AVE SO, STARPOINT SURGERY CENTER--STUDIO CITY 12660 RIVERSIDE DR, MAYFIELD SPINE CENTER LLC 4020 SMITH ROAD, SAN ANTONIO TX ENDOSCOPY ASC LP 150 E SONTERRA BLVD, SUITE 110 DIGESTIVE ENDOSCOPY CENTER LLC 77 ELEANOR DR, SUMMIT AMBULATORY SURGICAL CENTER, LLC 7625 MAPLE LAWN BLVD, SUITE 205 GRAND AVENUE SURGICAL CENTER, LTD. 17 W GRAND AVE, CLARKSVILLE EYE SURGERY CENTER 141 CHESAPEAKE LANE, STE 200 AMBULATORY SURGERY CENTER OF LOUISIANA 385 BERT KOUNS INDUSTRIAL LOOP, BLDG 300 ISLAND COUNTY DERMATOLOGY, PLLC 3110 COMMERCIAL AVE STE 105, CALIFORNIA SKIN SURGERY CENTER INC 9269 SIERRA COLLEGE BLVD, 1144499633 FOOTHILL SURGERY CENTER, LP SMA Informatics Confidential 255 E SANTA CLARA ST, SUITE 110 ST ZIP OXNARD TACOMA OAKHURST PENSACOLA INVERNESS TACOMA ROCKY MOUNT SONORA ST AUGUSTINE ATLANTA SCOTTSDALE HOUSTON REISTERSTOWN LOS ANGELES BELLINGHAM PRINCETON ALLENTOWN ST PETERSBURG STUDIO CITY NORWOOD SAN ANTONIO SPRINGBORO FULTON CHICAGO CLARKSVILLE SHREVEPORT ANACORTES ROSEVILLE CITY CA WA NJ FL FL WA NC CA FL GA AZ TX MD CA WA IN PA FL CA OH TX OH MD IL TN LA WA CA 93030 98465 07755 32503 34453 98405 27804 95370 32086 30342 85258 77008 21136 90013 98225 47670 18104 33707 91607 45209 78258 45066 20759 60610 37040 71106 98221 95661 ARCADIA CA 91006 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 26 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1154301240 1154304749 1154308880 1154310753 1154316339 1154318103 1154318376 1154318517 1154322410 1154322600 1154323988 1154325686 1154326650 1154328243 1154328763 1154351849 1154352847 1154360501 1154369114 1154370146 1154378909 1154385813 1154386951 1154387710 1154391340 1154400471 1154412120 1154412757 1154422541 PROVIDER NAME ADDRESS ENDOSCOPY CENTER OF WASHINGTON DC LP 2021 K ST NW, SUITE T-115 RIDGELINE ENDOSCOPY CENTER L.C. 6028 S RIDGELINE DR, SUITE 100 WOODBURY AMBULATORY SURGERY CENTER 8675 VALLEY CREEK RD, #300 LONG BEACH PAIN CENTER & MEDICAL CLINIC 2760 PACIFIC AVE, NORTH PLATTE SURGERY CENTER LLC 621 W FRANCIS ST, EVERETT CLINIC INC 3927 RUCKER AVE, SUITE101 LAHAYE CENTER FOR ADVANCED EYE CARE OF LAFAYETTE, 201 INC. RUE IBERVILLE, SUITE 800 CREVE COEUR SURGERY CENTER LLC 845 N NEW BALLAS CT, SUITE 100 SUMMIT SURGICAL SUITES, LLC 7920 W JEFFERSON BLVD, SUITE 210 TEXOMA OUTPATIENT SURGERY CENTER, INC. 1712 11TH ST, CENTRAL VIRGINIA SURGI-CENTER, LP 1500 DIXON ST, SUITE 101 BERKSHIRE EYE SURGERY CENTER LP 2220 RIDGEWOOD RD, SCOTTSDALE SURGICAL PARTNERS, LLC 9522 E SAN SALVADOR DR, STE 100 STEVEN JOHNSON LOS PALOS AMBULATORY ENDOSCOPY 1081 CNTR LOS PALOS DR, SUITE - A NORTH IDAHO ENDOSCOPY CENTER PLLC 1607 LINCOLN WAY, STE 100 SUTHERLAND HOLDINSG LIMITED 2720 N GAREY AVE, THE PHYSICIANS' PAIN AND REHABILITATION SPECIALISTS 790OF CHURCH GEORGIA, ST NE, P.C.SUITE 530 GULF SOUTH SURGERY CENTER LLC 1206 31ST AVE, CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC 7902 EWING HALSELL, MICHIGAN SURGICAL CENTER,LLC 2075 COOLIDGE RD, AMBULATORY SURGI-CENTER AT FMC LLC 1200 N BEAVER ST STE B, LOCKWOOD AMBULATORY SURGERY CENTER 10801 LOCKWOOD DR, SUITE 260 SPECIAL COMPANY LLC 39 EDGERTON DR, WARNER PARK SURGERY CENTER, LP 604 WEST WARNER ROAD, BUILDING A NORTH SURGERY CENTER 3050 NEW COVINGTON PIKE, SUITE 100 ST. LOUIS WOMEN'S SURGERY CENTER, LLC 884 WOODS MILL RD, SUITE 100 SURGICORE, INC. 10547 S EWING AVE, SURGICENTER LTD 1651 WEST MAIN STREET, BRUNSWICK PAIN TREATMENT CENTER 1111 GLYNCO PKWY, 3RD FLOOR SMA Informatics Confidential CITY WASHINGTON SOUTH OGDEN WOODBURY LONG BEACH NORTH PLATTE EVERETT LAFAYETTE CREVE COEUR FORT WAYNE WICHITA FALLS FREDERICKSBURG WYOMISSING SCOTTSDALE SALINAS COEUR D ALENE POMONA MARIETTA GULFPORT SAN ANTONIO EAST LANSING FLAGSTAFF SILVER SPRING N FALMOUTH CHANDLER MEMPHIS BALLWIN CHICAGO NEWARK BRUNSWICK SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 27 ST ZIP DC UT MN CA NE WA LA MO IN TX VA PA AZ CA ID CA GA MS TX MI AZ MD MA AZ TN MO IL OH GA 20006 84405 55125 90806 69101 98201 70508 63141 46804 76301 22401 19610 85258 93901 83814 91767 30060 39501 78229 48823 86001 20901 02556 85225 38128 63011 60617 43055 31525 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1154432300 1154433886 1154434579 1154440972 1154442630 1154449643 1154460525 1154474583 1154476372 1154481984 1154497964 1154504728 1154515971 1154526044 1154538544 1154555472 1154566578 1154577203 1154590271 1154593481 1164414447 1164419842 1164421004 1164428272 1164448486 1164452249 1164458634 1164458824 1164464418 PROVIDER NAME ADDRESS SALISBURY URO SURGERY CENTER LLC 1342 SOUTH DIVISION STREET, UNIT 401 SURGICAL SERVICES P.C. 604 S MAIN ST, ABDOMINAL SPECIALISTS OF SOUTH TEXAS 1301 OCEAN DRIVE, SEBASTOPOL AMBULATORY SURGERY CENTER 6880 PALM AVE, GASTROENTEROLOGY ASSOCIATES ENDOSCOPY CENTER 415 N CENTER ST STE 300, AUGUSTA EYE SURGERY, LLC 905 STEVENS CREEK RD, VIRGINIA MASON MEDICAL CENTER 19116 33RD AVE W, CREEKWOOD SURGERY CENTER, LP 211 NE 54TH ST, SUITE 100 UROLOGICAL CONSULTANTS PA AMBULATORY SURGERY 401 CENTER E JEFFERSON ASC ST STE 105, SPRING VALLEY SURGERY CENTER LLC 3835 S JONES BLVD STE 103, PANKRATZ EYE INSTITUTE, LLC 3135 MIDDLE ROAD, TREASURE COAST SURGERY CENTER, LLC 1411 SE OCEAN BLVD, ENDOSCOPY CENTER OF OCALA INC 17355 SE 109 TERR RD, KERRVILLE AMBULATORY SURGERY CENTER, LLC 1001 WATER ST, UNIT C COLLIER ENDOSCOPY & SURGERY CENTER 3439 PINE RIDGE RD, GEORGIA RETINA SURGERY CENTER, LLC 1100 JOHNSON FERRY RD NE, SUITE 593 WOMEN'S SPECIALTY SURGERY CENTER OF DALLAS, LLC8230 WALNUT HILL LANE, SUITE #101 CENTER FOR PLASTIC SURGERY, LLC 1880 FILLMORE STREET, UNITY SURGICAL CENTER, LLC 1411 S CREASY LN, SUITE 200 RANCHO MIRAGE SURGERY CENTER, LLC 35-800 BOB HOPE DRIVE, SUITE 100 EAST VALLEY ENDOSCOPY LLC 6020 E ARBOR AVE, SUITE 105 MONTGOMERY SURGERY CENTER LLC. 1000 N BROAD ST, SUITE2 CHICO SURGERY CENTER LP 615 WEST EAST AVENUE, NORTH DAKOTA SURGERY CENTER LLP 3035 DEMERS AVE, CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC 502 MADISON OAK DR, SUITE 500 RUSH SURGERY CENTER, LLC 648 CHETCO AVENUE, SAINT FRANCIS SURGERY CENTER, LLC 5999 PARK AVE, BLAIR ENDOSCOPY CENTER, LLC 810 VALLEY VIEW BLVD, BARNET DULANEY SURGERY CENTERS, PLLC 9425 W BELL RD, SMA Informatics Confidential CITY SALISBURY SWEETWATER CORPUS CHRISTI SEBASTOPOL HICKORY AUGUSTA LYNNWOOD KANSAS CITY ROCKVILLE LAS VEGAS COLUMBUS STUART SUMMERFIELD KERRVILLE NAPLES ATLANTA DALLAS TWIN FALLS LAFAYETTE RANCHO MIRAGE MESA LANSDALE CHICO GRAND FORKS SAN ANTONIO BROOKINGS MEMPHIS ALTOONA SUN CITY SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 28 ST ZIP MD TN TX CA NC GA WA MO MD NV IN FL FL TX FL GA TX ID IN CA AZ PA CA ND TX OR TN PA AZ 21804 37874 78404 95472 28601 30907 98036 64118 20850 89103 47203 34996 34491 78028 34109 30342 75231 83301 47905 92270 85206 19446 95926 58201 78258 97415 38119 16602 85351 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1164469086 1164472031 1164472098 1164473922 1164476933 1164478764 1164480992 1164484572 1164486809 1164487922 1164488219 1164488714 1164490728 1164491874 1164495198 1164513149 1164515276 1164516084 1164527933 1164528527 1164534400 1164538286 1164548996 1164561064 1164564506 1164577219 1164582649 1164584066 1164597761 PROVIDER NAME ADDRESS CITY ST SAME DAY SURGICARE OF N.E. INC. 272 STANLEY ST, FALL RIVER MA TUPELO SURGERY CENTER, L.L.C. 3353 N GLOSTER ST, SUITE 300 TUPELO MS WESTSIDE EYE CENTER LLC 1413 JOHN B WHITE SR BLVD, SUITE D SPARTANBURG SC OPHTHALMOLOGY CENTER OF BREVARD DBA ASC OF BREVARD 719 E NEW HAVEN AVE, MELBOURNE FL NOVAMED SURGERY CENTER OF SAN ANTONIO LP 7810 LOUIS PASTEUR, SUITE 100 SAN ANTONIO TX SURGERY CENTER OF LAWTON PLLC 3617 W GORE BLVD, SUITE D LAWTON OK VICTORIA SURGERY CENTER 105 JAMES COLEMAN DR, VICTORIA TX FORT SUTTER SURGERY CENTER A CALIFORNIA LIMITED2801 PARTNERSHIP K ST, SUITE 525 SACRAMENTO CA SAINT LUKE'S SURGICENTER - LEE'S SUMMIT 120 NE SAINT LUKES BLVD, LEES SUMMIT MO WHITE MOUNTAINS AMBULATORY SURGERY CENTER 2650 E SHOW LOW LAKE RD, SUITE 2 SHOW LOW AZ ENDOSCOPY CENTER OF NORTHEAST TENNESSEE, PC 310 N STATE OF FRANKLIN RD, SUITE 202 JOHNSON CITY TN NORTHWEST SURGICARE LTD 1100 W CENTRAL RD, LOWER LEVEL BASEMENT, L4ARLINGTON HEIGHTSIL THE READING HOSPITAL SURGICENTER AT SPRING RIDGE 2603 LLCKEISER BLVD, WYOMISSING PA OUTPATIENT SURGERY CENTER OF ST AUGUSTINE LLC ONE ORTHOPAEDIC PLACE, SUITE 200 ST. AUGUSTINE FL SARASOTA OPHTHALMOLOGY ASC LLC 3920 BEE RIDGE RD, BLDG F, SUITE C SARASOTA FL ENDO SURGI CENTER PA 1201 MORRIS AVE, UNION NJ HEALING ARTS DAY SURGERY 222 W. IOWA AVENUE, SUITE B NAMPA ID ENDOSCOPIC AMBULATORY SPECIALTY CENTER OF BAY7601 RIDGE, 4THINC AVE, SUITE 1A BROOKLYN NY NORTHWEST AMBULATORY SURGERY SERVICES, LLC 2075 BARKLEY BLVD, SUITE 100 BELLINGHAM WA CENTER FOR DIGESTIVE CARE LLC 5300 ELLIOTT DR, YPSILANTI MI MISSION HILLS SURGICENTER, INC. 25982 PALA, SUITE#280 MISSION VIEJO CA SIXTY FOURTH STREET LLC 2373 64TH ST SW, SUITE 2200 BYRON CENTER MI ROCKVILLE AMBULATORY SURGERY CENTER LLC 50 W EDMONSTON DR, ROCKVILLE MD HUNTERDON CENTER FOR SURGERY, LLC 9100 WESCOTT DR STE 201, FLEMINGTON NJ CENTER FOR EYELID AND FACIAL PLASTIC SURGERY, L.L.C. 6420 ROCKLEDGE DR, SUITE 4300 BETHESDA MD L RICHARD MORGAN M.D. 18 WILLIAMSBURG LN, CHICO CA STRICTLY PEDIATRICS SURGERY CENTER 1301 BARBARA JORDAN BLVD., SUITE 100 AUSTIN TX NAPERVILLE SURGICAL CENTRE LLC 1263 RICKERT DR, NAPERVILLE IL OUTPATIENT EYE SURGERY CENTER 4324 VETERANS MEMORIAL BLVD, SUITE 101 METAIRIE LA SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 29 ZIP 02720 38804 29306 32901 78229 73505 77904 95816 64086 85901 37604 60005 19610 32086 34233 07083 83686 11209 98226 48197 92691 49315 20852 08822 20817 95926 78723 60540 70006 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1164601696 1164613790 1164618138 1164647707 1164656740 1164661831 1164662912 1164664595 1164671558 1164697009 1174500904 1174502272 1174502561 1174503080 1174512503 1174513519 1174520191 1174520993 1174525521 1174525661 1174526271 1174530752 1174538748 1174540850 1174551758 1174552632 1174559819 1174568810 1174570642 PROVIDER NAME ADDRESS COSMETIC PLASTIC SURGERY CENTER 11110 MEDICAL CAMPUS RD, SUITE 241 CATARACT & LASIK CENTER OF UTAH PC 175 N 400 W, EXCELLENT SURGERY CENTER, LLC 920 SW LANE ST, SUITE 100 IHC HEALTH SERVICES, INC. 359 8TH AVE, SURGERY CENTER OF MOUNT DORA, LLC 4 WESTBROOK CORPORATE CTR STE 440, GAINESVILLE PAIN SURGERY CENTER LLC 1250 JESSE JEWELL PKWY SE, SUITE 100 SPACE COAST SURGERY CENTER LLLP 595 N COURTENAY PKWY, 103 ALPHARETTA HEAD AND NECK SURGICAL CENTER, LLC 1360 UPPER HEMBREE RD, SUITE 202 WEST PACES AMBULATORY SURGICAL CENTER, LLC 3161 HOWELL MILL RD NW, SUITE 310 BOX HILL SURGERY CENTER LLC 100 WALTER WARD BLVD, SUITE 300 CENTER FOR SPECIAL SURGERY 209 PATEWOOD DRIVE, SUITE 300 ENDOSCOPY CENTER OF TOPEKA LP 2200 SW 6TH AVE, SUITE 103 YANKTON MEDICAL CLINIC SURGICENTER 1104 W 8TH ST, THE SURGICAL CENTER FOR EXCELLENCE, LLLP 202 DOCTORS DR, TASC LLC 1112 6TH AVE, SUITE 100 JERI SHUSTER, M.D., WOMEN'S CENTER, INC. 11065 LITTLE PATUXENT PKWY, SUITE 200 AESTHETIC SURGERY CENTER OF EUGENE 2550 WILLAKENZIE RD, CENTRAL WYOMING OUTPATIENT SURGERY CENTER, LLC 1201 E 3RD ST, OPHTHALMOLOGY SURGICAL CENTER, INC 92 TUSCARORA ST, 2ND FLOOR HANOVER SURGICENTER, L.L.C. 250 FAME AVE, SUITE 130 ORLANDO SURGERY CENTER II LTD 2000 N ORANGE AVE, LAKE MARY SURGERY CENTER L L C 460 SAINT CHARLES CT, SPECIALTY SURGICAL CENTER, LLC 9675 BRIGHTON WAY, #100 ROCKLAND SURGERY CENTER, L.P. 2710 CENTERVILLE RD, SUITE 100 ASC GI DIAGNOSTIC CENTER, LLC 2084 NE PROFESSIONAL CT, MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED 3365 G ST, SUITE 101 J. DOUGLAS BUTLER ADVANCED SUR CTR 295 STONER AVE, STE 105 SURGICAL CARE CENTER, INC. 8103 CLEARVISTA PARKWAY, GASTRO, LLC. 2275 WHITEHORSE MERCERVILLE RD, SMA Informatics Confidential CITY HAGERSTOWN OREM TOPEKA SALT LAKE CITY WESTCHESTER GAINESVILLE MERRITT ISLAND ROSWELL ATLANTA ABINGDON GREENVILLE TOPEKA YANKTON PANAMA CITY TACOMA COLUMBIA EUGENE CASPER HARRISBURG HANOVER ORLANDO LAKE MARY BEVERLY HILLS WILMINGTON BEND MERCED WESTMINSTER INDIANAPOLIS TRENTON SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 30 ST ZIP MD UT KS UT IL GA FL GA GA MD SC KS SD FL WA MD OR WY PA PA FL FL CA DE OR CA MD IN NJ 21742 84057 66606 84103 60154 30501 32953 30076 30327 21009 29615 66606 57078 32405 98405 21044 97401 82601 17104 17331 32804 32746 90210 19808 97701 95340 21157 46256 08619 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1174571970 1174572606 1174582829 1174586606 1174587984 1174588206 1174590434 1174592844 1174594584 1174597819 1174601223 1174607303 1174609309 1174611982 1174615702 1174634778 1174636237 1174663199 1174670723 1174689533 1174709786 1174711949 1174713283 1174713382 1174715445 1174716708 1174741151 1174777817 1174778047 PROVIDER NAME ADDRESS DCR SURGERY CENTER, LLC 245 W ELMWOOD DR, NORTH COAST SURGERY CENTER, LLC 1170 E BROAD ST, SUITE 104 HAVASU FOOT & ANKLE CENTER 90 RIVIERA DR, BELLEAIR SURGERY CENTER LTD 1130 PONCE DE LEON BLVD, ST MARKS AMBULATORY SURGERY ASSOCIATES LP 1250 E 3900 S, SUITE 100 CHARLESTON SURGERY CENTER LIMITED PARTNERSHIP2690 LAKE PARK DR, HARMONY AMBULATORY SURGERY CENTER, LLC 2127 E HARMONY RD, SUITE 200 AUDUBON AMBULATORY SURGERY CENTER 3030 N CIRCLE DR, SUITE 101 SHERIDAN SURGERY CENTER 95 BULLDOG BLVD, STE104 PROCEDURE CENTER OF SOUTH SACRAMENTO INC 8120 TIMBERLAKE WAY, STE 103 BEL CLAIR AMBULATORY SURGICAL TREATMENT CENTER, 325LTD. W LINCOLN ST, SOUTHWEST MEDICAL ASSOCIATES INC. 2450 W CHARLESTON BLVD, ORTHOPAEDIC SURGERY CENTER OF NORTHWEST JERSEY, 3130LLC ROUTE 10 WEST, TARZANA SURGERY CENTER, INC. 18425 BURBANK BLVD, STE. 105 I CARE CENTER 9002 N MERIDIAN ST, LOWER LEVEL THE CENTER FOR SPECIALIZED SURGERY, LP 2851 BAGLYOS CIR, SUITE 100 SOUTHEAST SURGERY CENTER LLC 5255 E STOP 11 RD, # 110 MIDDLESEX ENDOSCOPY CENTER LLC 45A DISCOVERY WAY, GASTROINTESTINAL INSTITUTE, LLC. 2200 JACOBSSEN DR, SUITE A PAIN TREATMENT CENTER 106 ASBURY CIR, ROCKSIDE ROAD SURGERY CENTER, LLC 6701 ROCKSIDE RD, SUITE 101 DELMARVA SURGERY CENTER LLC 101 CHESAPEAKE BLVD, SUITE C OPREX SURGERY BEAUMONT, LP 390 N 11TH ST, GREENBRIER CLINIC SURGERY CENTER 320 W MAIN ST, DIGESTIVE HEALTH CENTER OF THOUSAND OAKS, LLC 3510 N MOORPARK RD, SUITE 101 HENDERSON SURGERY CENTER 1110 WIGWAM PKWY, SUITE 105 PLS SURGERY CENTER LP 624 W DUARTE RD, SUITE 104 INDIANA SPECIALTY SURGERY CENTER, LLC 1380 W ARCH HAVEN AVE, RSC ILLINOIS LLC 545 VALLEY VIEW DR, SMA Informatics Confidential CITY ST DAYTON OH ELYRIA OH LAKE HAVASU CITY AZ CLEARWATER FL SALT LAKE CITY UT NORTH CHARLESTONSC FORT COLLINS CO COLORADO SPRINGS CO MELBOURNE FL SACRAMENTO CA BELLEVILLE IL LAS VEGAS NV DENVILLE NJ TARZANA CA INDIANAPOLIS IN BETHLEHEM PA INDIANAPOLIS IN ACTON MA NORMAL IL HATTIESBURG MS INDEPENDENCE OH ELKTON MD BEAUMONT TX WHITE SULPHUR SPRINGS WV THOUSAND OAKS CA HENDERSON NV ARCADIA CA BLOOMINGTON IN MOLINE IL SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 31 ZIP 45459 44035 86403 33756 84124 29406 80528 80909 32901 95823 62220 89102 07834 91356 46260 18020 46237 01720 61761 39402 44131 21921 77702 24986 91360 89074 91007 47403 61265 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1174796668 1174852461 1174858955 1174859516 1184600736 1184601098 1184605792 1184607061 1184615932 1184621864 1184627978 1184635955 1184637241 1184651457 1184660151 1184662157 1184664609 1184666364 1184671760 1184673378 1184675704 1184678682 1184680225 1184680407 1184682445 1184683963 1184684573 1184686164 1184686792 PROVIDER NAME SURGERY CENTER OF SHEBOYGAN LLC THE CHRIST HOSPITAL SPINE SURGERY CENTER LLC WEST PORTLAND SURGERY CENTER, LLC HERMITAGE TN ENDOSCOPY ASC, LLC MERIDIAN SURGERY CENTER, LLC FRANCISCAN SURGERY CENTER, LLC COLONNADE ENDOSCOPY CENTER LLC PACIFIC RIM OUTPATIENT SURGERY CENTER LLC ALAMO HEIGHTS SURGICARE LP LARGO AMBULATORY SURGERY CENTER LLC NOVAMED SURGERY CENTER OF ORLANDO LLC SAN RAMON ENDOSCOPY CENTER DSA SURGERY CENTER MARIN COSMETIC SURGERY CENTER INNOVATIVE PROCEDURAL CENTER LLC WILLIAMSON SURGERY CENTER, LLC ENDOSCOPY CENTER AT ROBINWOOD, LLC LONG ISLAND CENTER FOR DIGESTIVE HEALTH LLC CHANDLER ENDOSCOPY CENTER, L.L.C. QUADRANGLE ENDOSCOPY CENTER, INC. DOCTORS SURGERY CENTER LLC MAIN LINE SURGERY CENTER, LLC CAPITAL CITY SURGICAL CENTER LLC OAK BROOK SURGICAL CENTRE INC. PORTSMOUTH SURGERY CENTER BERKSHIRE ENDOSCOPY CENTER LLC EASTON AMBULATORY SERVICES SHORE AMBULATORY SURGICAL CENTER, LLC COLUMBIA EYE SURGERY CTR SMA Informatics Confidential ADDRESS 3141 SAEMANN AVE, 4020 SMITH RD, 16985 NW CORNELL RD, 5653 FRIST BLVD, SUITE 532 2100 13TH ST, 5255 E STOP 11 RD, SUITE 100 555 S RYAN ST, #102 3009 SQUALICUM PKWY, 5307 BROADWAY, SUITE 100 148 13TH ST SW, 801 N ORANGE AVE, SUITE 630 5801 NORRIS CANYON RD, SUITE 220 7515 MAIN ST, STE 240 165 ROWLAND WAY, # 302 1512 4TH ST NE, 4323 CAROTHERS PARKWAY, SUITE 100 11110 MEDICAL CAMPUS RD, SUITE 248 1103 STEWART AVE, SUITE 301 600 S DOBSON RD, BUILDING A 1850 W ARLINGTON BLVD, 921 N MAIN ST, 10 PRESIDENTIAL BLVD, SUITE 200 2807 CAPITAL MEDICAL BLVD, SUITE B 2425 W 22ND ST, SUITE 101 1400 GAY STREET, 53 EAGLE ST, 3RD FLOOR 3729 EASTON NAZARETH HWY, 405 BETHEL RD, 1920 PICKENS ST, CITY SHEBOYGAN CINCINNATI BEAVERTON HERMITAGE MERIDIAN INDIANAPOLIS LAKE CHARLES BELLINGHAM SAN ANTONIO LARGO ORLANDO SAN RAMON HOUSTON NOVATO WATERTOWN FRANKLIN HAGERSTOWN GARDEN CITY CHANDLER GREENVILLE KISSIMMEE BALA CYNWYD TALLAHASSEE OAK BROOK PORTSMOUTH PITTSFIELD EASTON SOMERS POINT COLUMBIA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 32 ST ZIP WI OH OR TN MS IN LA WA TX FL FL CA TX CA SD TN MD NY AZ NC FL PA FL IL OH MA PA NJ SC 53081 45209 97006 37076 39301 46237 70601 98225 78209 33770 32801 94583 77030 94945 57201 37067 21742 11530 85224 27834 34744 19004 32308 60523 45662 01201 18045 08244 29201 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1184687386 1184687626 1184689010 1184689408 1184690570 1184697930 1184699241 1184699878 1184702177 1184713919 1184714214 1184727398 1184749673 1184752305 1184753568 1184758948 1184782203 1184784209 1184787640 1184788861 1184798837 1184801565 1184806028 1184811168 1184814402 1184815417 1184819930 1184844607 1184871485 PROVIDER NAME ADDRESS DIGESTIVECARE, INC. 75 SYLVANIA DR, PARK CENTRAL SURGICAL CENTER, LTD 12200 PARK CENTRAL DR, SUITE 300 PARK CITIES SURGERY CENTER, LLC 6901 SNIDER PLZ, SUITE 300 EYE ASSOCIATES NORTHWEST, PC 5300 17TH AVE NW, PAIN CARE SURGERY, PC 108 AIRWAY DR, ALEXANDRIA OPHTHALMOLOGY ASC LLC 4100 PARLIAMENT DR, SAN LUIS OBISPO CA ENDOSCOPY ASC LP 1320 LAS TABLAS RD, SUITE A LOC SURGERY CENTER INC 6900 A STREET, SUITE 200 OHIO GASTROENTEROLOGY GROUP ENDOSCOPY CENTER 777 W STATE ST, SUITE 402 OCEAN STATE ENDOSCOPY, INC 148 W RIVER ST, SUITE 3 GAINESVILLE ENDOSCOPY CENTER, LLC 660 E/F LANIER PARK DR, HURST AMBULATORY SURGICAL CENTER 3900 JOE RAMSEY BLVD E # 10, WAYNE SURGICAL CENTER LLC 1176 HAMBURG TPKE, SEASHORE SURGICAL INSTITUTE, LLC 495 JACK MARTIN BLVD, EISBACH FACIAL PLASTIC SURGERY PC 7800 CONSTITUTION AVE NE, SURGERY CTR OF THE MAIN LINE 744 W LANCASTER AVE, SUITE 110 EASTERN OREGON REGIONAL SURGERY CENTER 1070 W ELM AVE, AMERICAN SURGICAL CENTERS II, LLC 7091 ORCHARD LAKE RD., SUITE #230 NORTHWEST HOSPITAL 1536 N 115TH ST, SUITE 105 MILFORD PODIATRY ASSOC. P.C. 318 NEW HAVEN AVE, UNIT A SHADELANDS ADVANCED ENDOSCOPY INSTITUTE, INC.498 N WIGET LN, MEBANE ASC INVESTORS LLC 3940 ARROWHEAD BLVD, PONTCHARTRAIN SURGERY CENTER LLC 4407 HWY 190 SERVICE RD, EAST, STE. 200 SUMMIT AMBULATORY SURGICAL CENTER, LLC 7704 QUARTERFIELD RD, SUITE 3C SURGITECH CENTERS, INC 7301 E 2ND ST STE 202, GRAND RAPIDS PLASTIC SURGERY PLC 426 MICHIGAN ST, STE 300 ROBERT I HEDEN, DPM, LLC 4439 ROSWELL RD, PAULA R DHANDA 5685 MAIN STREET, GUAYNABO AMBULATORY SURGICAL GROUP, INC CARR 165 # KM1, SUITE 1010 CITY VIEW PLAZA II SMA Informatics Confidential CITY ST ZIP BEAVERCREEK DALLAS UNIVERSITY PARK SEATTLE MARION ALEXANDRIA TEMPLETON LINCOLN COLUMBUS PROVIDENCE GAINESVILLE GREENVILLE WAYNE BRICK ALBUQUERQUE WAYNE HERMISTON WEST BLOOMFIELD SEATTLE MILFORD WALNUT CREEK MEBANE COVINGTON GLEN BURNIE SCOTTSDALE GRAND RAPIDS MARIETTA KELSEYVILLE GUAYNABO OH TX TX WA IL LA CA NE OH RI GA TX NJ NJ NM PA OR MI WA CT CA NC LA MD AZ MI GA CA PR 45440 75251 75205 98107 62959 71303 93465 68510 43222 02904 30501 75401 07470 08724 87110 19087 97838 48322 98133 06460 94598 27302 70433 21061 85251 49503 30062 95451 00968 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 33 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1184877219 1184890899 1184897472 1194047092 1194708792 1194716142 1194716191 1194718056 1194718312 1194718593 1194718684 1194718940 1194720730 1194724690 1194727289 1194727883 1194729590 1194735522 1194744532 1194746321 1194751784 1194756528 1194757401 1194761908 1194763367 1194770974 1194774265 1194778167 1194782342 PROVIDER NAME ADDRESS SPINE TEAM TEXAS ROCKWALL ASC, LP 3142 HORIZON ROAD, SUITE 100 DHHS, PHS, NAIHS, GALLUP INDIAN MEDICAL CENTER 516 NIZHONI BLVD, LAKE COUNTRY ENDOSCOPY CENTER, LLC 1185 CORPORATE CENTER DR, SUITE 125 PACIFIC CATARACT & LASER INSTITUTE INC PC 4330 MITCHELL WAY, THE SURGERY CENTER OF OPHTHALMOLOGY CONSULTANTS, 7232 ENGLE P.C. RD, ADVANCED SURGERY CENTER OF CLIFTON, LLC 1200 ROUTE 46, AMBULATORY SURGICAL CENTER OF UNION COUNTY, LLC 950 W CHESTNUT ST, SUITE 200 MARIN ENDOSCOPY CENTER, LLC 1100 S ELISEO DR, SUITE 3 CAPE COD ASC LLC 280 HERITAGE PARK, LEONARD DZUBOW AMBULATORY SURGICAL CENTER 101 CHESLEY DR, CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC 403 TREELINE PARK, SUITE 100 20-20 SURGERY CENTER LLC 516 PELLIS RD, UROLOGY ASSOCIATES AMBULATORY SURGERY CENTER7014 N WHITNEY AVE, STE B ENDOSCOPY CENTER OF DAYTON NORTH LLC 9000 N MAIN ST, SUITE 405 SURGERY CENTER OF DUNCANVILLE, LP 1018 E WHEATLAND RD, PROLIANCE SURGEONS, INC., P.S. 7308 BRIDGEPORT WAY W, SUITE 102 PHYSICIANS SURGERY CENTER, LLC 1 MERCADO ST, SUITE 210 IDAHO SURGICENTER NORTH LLC 3369 MERLIN DR, MOSES CONE MEDICAL SERVICES INC. 520 N ELAM AVE, PAIN SPECIALTY CENTER OF ATLANTA, P.C. 5671 PEACHTREE DUNWOODY RD NE, SUITE 660 ABERDEEN AMBULATORY SURGICAL CENTER, LLC 650 DITTMER AVENUE, NORTH HOUSTON GI CENTER 7333 NORTH FWY STE 400, CHAGRIN SURGERY CENTER, LLC 24025 COMMERCE PARK, SUITE 2 GWINNETT ENDOSCOPY CENTER, PC 301 PHILIP BLVD, SUITE B PLASTIC & COSMETIC SURGEONS, P.A. 5601 LOCH RAVEN BLVD, POB, SUITE 101 HAMILTON ENDOSCOPY AND SURGERY CENTER, LLC 1235 WHITEHORSE MERCERVILLE RD, SUITE 310 CEDAR MEDICAL SPECIALTIES, PLLC 2202 S CEDAR ST, STE 150 DR. BRIAN KASHAN, D.P.M., PA, ASC 6506 REISTERSTOWN RD, NORTHWEST COMMUNITY DAY SURGERY CENTER INC 675 W KIRCHHOFF RD, SMA Informatics Confidential CITY ST ROCKWALL TX GALLUP NM OCONOMOWOC WI BELLINGHAM WA FORT WAYNE IN CLIFTON NJ UNION NJ GREENBRAE CA SANDWICH MA MEDIA PA SAN ANTONIO TX GREENSBURG PA FRESNO CA DAYTON OH DUNCANVILLE TX LAKEWOOD WA DURANGO CO IDAHO FALLS ID GREENSBORO NC ATLANTA GA PUEBLO CO HOUSTON TX BEACHWOOD OH LAWRENCEVILLE GA BALTIMORE MD HAMILTON NJ TACOMA WA BALTIMORE MD ARLINGTON HEIGHTSIL SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 34 ZIP 75032 87301 53066 98226 46804 07013 07083 94904 02563 19063 78209 15601 93720 45415 75116 98499 81301 83404 27403 30342 81005 77076 44122 30046 21239 08619 98405 21215 60005 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1194782672 1194783332 1194783779 1194788182 1194790592 1194790808 1194798959 1194802868 1194803320 1194813303 1194813840 1194815639 1194853796 1194862656 1194913103 1194913574 1194930925 1194935577 1194944926 1194950915 1194954636 1194959809 1194960732 1194966051 1194987222 1194997965 1194999359 1205009040 1205013273 PROVIDER NAME ADDRESS BARNET DULANEY PERKINS EYE CENTER 825 S 20TH AVE, HARTFORD SURGERY CENTER LLC 100 RETREAT AVE, SUITE 302 KATY ST. CATHERINE SURGERY CENTER, LP 707 S FRY RD, SUITE # 150 SURGICAL PARK CENTER LTD 9100 SW 87TH AVE, HAMOT SURGERY CENTER, LLC 200 STATE ST, DIGESTIVE ENDOSCOPY CENTER LLC 7211 N MAIN ST, #5 EAST PARIS SURGICAL CENTER, LLC 1000 E PARIS AVE SE, SUITE LL01 VISION CARE CENTER, A MEDICAL GROUP, INC 7075 N SHARON AVE, ORANGE COUNTY OPHTHAMOLOGY MED. GROUP ORANGE 12665COUNTY GARDENEYE GROVE SURGERY BLVD,CENTER SUITE 401 LASER & SURGICAL SERVICES AT CENTER FOR SIGHT 2601 S TAMIAMI TRAIL, SURGERY CENTER OF WISCONSIN RAPIDS, LLC 140 24TH ST S, CEDAR ORTHOPAEDIC SURGERY CENTER 1335 N. NORTHFIELD ROAD, STE 150 SURGERY CENTER OF BETHESDA, INC. 8218 WISCONSIN AVE, SUITE 112 MAPLE MILLENNIUM MEDICAL CENTER LLC 5456 15 MILE RD, LASERVUE EYE CENTER 3540 MENDOCINO AVE STE 200, SUMMIT AMBULATORY SURGICAL CENTER, LLC 6569 N CHARLES ST, SUITE 708 WILLIAMSPORT SURGERY CENTER,LLC 920 WASHINGTON BLVD, MILLENNIUM SURGICAL CENTER LLC 2090 SPRINGDALE RD, SUITE A TOTAL FOOT CARE SURGERY CENTER 7525 GREENWAY CENTER DR, SUITE 112 JASPER AMBULATORY SURGICAL CENTER LLC 74 BRICK BLVD BLDG 3, SUITE 121 SPENCER SURGERY AND LASER CENTER, LLC 1721 W 18TH ST, BEVERLY HILLS REGIONAL SURGERY CENTER LP 1125 S BEVERLY DR, SUITE 505 ISURGERY, LLC 905 N 3RD ST, FIRST STREET SURGERY CENTER INC. 2010 E 1ST ST # 110, ADVANCED SURGERY CENTER LLC 5065 SOUTH STATE RD 7, SUITE 100 INDIANAPOLIS ENDOSCOPY CENTER LLP 8315 E 56TH ST, SUITE 100 ER DPM PA JEFFREY L BOB 12 CRAIN HIGHWAY, NORTH COUNTY ASSOCIATES, LLC 1105 LAS TABLAS RD, SUITE #E GLEN BURNIE MD ENDOSCOPY ASC LLC 7704 QUARTERFIELD RD, SUITE I SMA Informatics Confidential CITY ST ZIP SAFFORD HARTFORD KATY MIAMI ERIE DAYTON GRAND RAPIDS FRESNO GARDEN GROVE SARASOTA WISCONSIN RAPIDS CEDAR CITY BETHESDA STERLING HEIGHTS SANTA ROSA BALTIMORE WILLIAMSPORT CHERRY HILL GREENBELT BRICK SPENCER LOS ANGELES ABERDEEN SANTA ANA LAKE WORTH INDIANAPOLIS GLEN BURNIE TEMPLETON GLEN BURNIE AZ CT TX FL PA OH MI CA CA FL WI UT MD MI CA MD PA NJ MD NJ IA CA SD CA FL IN MD CA MD 85546 06106 77450 33176 16507 45415 49546 93720 92843 34239 54494 84720 20814 48310 95403 21204 17701 08003 20770 08723 51301 90035 57401 92705 33449 46216 21061 93465 21061 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 35 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1205021714 1205023280 1205026069 1205030731 1205076593 1205080181 1205145786 1205800752 1205803699 1205804697 1205808938 1205810553 1205821097 1205831849 1205836830 1205839487 1205845740 1205853041 1205853249 1205857968 1205858875 1205859550 1205862984 1205865409 1205869211 1205871050 1205872108 1205874906 1205875283 PROVIDER NAME ADDRESS BRUCE G. TOLMAN, DMP 1540 ELK CREEK DR, SUMMIT AMBULATORY SURGICAL CENTER, LLC 1001 PINE HEIGHTS AVE, SUITE 100 COHEN AVE SURGERY CENTER, LLC 4659 COHEN AVE., SUITE B PIERCE STREET SAME DAY SURGERY, LC 2730 PIERCE ST, TALBERT SURGICAL ASSOCIATES 7677 CENTER AVE STE 104, NORTHWEST NEUROSPINE INSTITUTE, LLC 74B CENTENNIAL LOOP, SUITE 200 GRAYSON COUNTY PHYSICIANS PROPERTY LLC 3603 CALAIS DRIVE, MEDICAL EYE ASSOCIATES, INC. 1429 OGLETHORPE ST, GI DIAGNOSTIC ENDOSCOPY CENTER 2550 WINDY HILL RD SE, STE. 302 GOLDSBORO ENDOSCOPY CENTER INC 2705 MEDICAL OFFICE PL, ABILENE EYE ASC LP 2120 ANTILLEY RD, ORTHOPAEDIC ASC OF SPRINGFIELD LLC 3045 S NATIONAL AVE, SUITE 101 ADOBE SURGERY CENTER, PC 2585 N WYATT DR, READING AMBULATORY SURGERY CENTER LP 1280 BROADCASTING RD, CENTER FOR SPECIALTY CARE INC 50 E 69TH ST, INTERVENTIONAL REHABILITATION CENTER, LLC 1549 AIRPORT BLVD, STE 420 THE UROLOGY CENTER LLC 4700 SMITH RD, SUITE M EUCLID ENDOSCOPY CENTER, LP 286 EUCLID AVE STE 109, ADVANCED SURGERY CENTER, INC 5771 N FRESNO ST STE 110, MARIETTA EYE CLINIC, PA 895 CANTON RD NE, BUILDING 200, SUITE 300 KOKOPELLI EYE CARE SURGERY CENTER 2820 N GLASSFORD HILL RD, COMMUNITY SURGERY & LASER CENTER, LLC 2 FARM COLONY DRIVE, ENDOSCOPIC SERVICES, P.A. 1431 BLUFFVIEW ST STE 215, GASTROENTEROLOGY OF CANTON ENDOSCOPY CENTER 4124 INC MUNSON ST NW, SUITE A ROANOKE SURGERY CENTER, LP 1802 BRAEBURN DR, KLAMATH SURGERY CENTER 2640 BIEHN ST, SUITE 2 SURGERY & ENDOSCOPY CENTER LLC 3201 PHYSICIANS WAY, CENTRAL GA HEAD &NECK SURGERY CENTER 540 HEMLOCK ST, ENDOSURGICAL CENTER OF CENTRAL NJ LLC 800 RYDERS LN, SMA Informatics Confidential CITY ST IDAHO FALLS ID BALTIMORE MD EL PASO TX SIOUX CITY IA HUNTINGTON BEACHCA EUGENE OR SHERMAN TX MACON GA MARIETTA GA GOLDSBORO NC ABILENE TX SPRINGFIELD MO TUCSON AZ WYOMISSING PA NEW YORK NY PENSACOLA FL CINCINNATI OH SAN DIEGO CA FRESNO CA MARIETTA GA PRESCOTT VALLEY AZ WARREN PA WICHITA KS CANTON OH SALEM VA KLAMATH FALLS OR SEBRING FL MACON GA EAST BRUNSWICK NJ SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 36 ZIP 83404 21229 79924 51104 92647 97401 75090 31201 30067 27534 79606 65804 85712 19610 10021 32504 45212 92114 93710 30060 86314 16365 67218 44718 24153 97601 33870 31201 08816 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1205878758 1205881935 1205885746 1205889110 1205892197 1205894466 1205897691 1205899705 1205903515 1205908456 1205910528 1205911716 1205915527 1205917101 1205925278 1205929080 1205939345 1205945243 1205949245 1205963568 1205978780 1205998648 1215002852 1215014022 1215019625 1215024575 1215025010 1215028469 1215040464 PROVIDER NAME ADDRESS ALBUQUERQUE AMBULATORY EYE SURGERY CENTER 5901 HARPER DR NE, HERITAGE EYE CENTER LC 1501-B REDBUD BLVD, GLASGOW MEDICAL CENTER, LLC 2600 GLASGOW AVE, SUITE 226 SOUTH COAST SURGERY CENTER, LLC 2699 N 17TH ST, ALASKA SURGERY CENTER LTD 4100 LAKE OTIS PKWY, SUITE 222 DAVIS SURGERY CENTER 2120 COWELL BLVD STE 142, REISTERSTOWN AMBULATORY SURGICAL CENTER 113 WESTMINSTER RD, SUITE 104 EL PASO SURGERY CENTERS LP 7835 CORRAL DR, ANKLE & FOOT CLINIC OF RENTO 275 SW 41ST ST, ENDOSCOPY CENTER -PINEVILLE LLC 10520 PARK RD, SUITE 105 A. LOUIS JIMENEZ, D.P.M., P.C. 2175 NORTH RD, INTERVENTIONAL PAIN CENTER OF MERCED 1390 E YOSEMITE AVE STE C, RICHARD W LAZARO MD PC 1131 MALL DRIVE, CATARACT & LASER CENTER, INC. 333 ELM ST, LUDWICK LASER AND SURGERY CENTER, LLC 825 5TH AVE, SUITE 101 OAK TREE SURGERY CENTER 1931 OAK TREE RD, HAND SURGERY ASSOCIATES OF INDIANA INC 8501 HARCOURT RD, FLORIDA ORTHOPAEDIC INSTITUTE SURGERY CENTER LLC 13060 TELECOM PARKWAY, MEMORIAL SURGERY CENTER, LLC 8131 S MEMORIAL DR, SUITE 107 BRYN MAWR MEDICAL SPECIALIST ASSOCIATION ASC 933 HAVERFORD RD, OZARK EYE CENTER, PA 360 HIGHWAY 5 N, SURGICAL EYE CENTER OF MORGANTOWN 1299 PINEVIEW DR, SANTA ROSA AMBULATORY SURGICAL CENTER 76 BROOKWOOD AVE STE B, HATTIESBURG EYE CLINIC CATARACT & LASIK SURGERY103 CENTER, MILLSAPS LLC DR, FOUR SEASONS SURGERY CENTERS OF ONTARIO, LP 1211 W 6TH ST, COOPER CLINIC PA 6801 ROGERS AVE, RIVERWALK SURGERY CENTER, INC 8350 RIVERWALK PARK BLVD, SUITE 4 DEL VAL ASC LLC 200 MALL BLVD, DEERPATH ORTHOPEDIC SURGICAL CENTER, LLC 1051 W US ROUTE 6, SMA Informatics Confidential CITY ALBUQUERQUE MCKINNEY NEWARK COOS BAY ANCHORAGE DAVIS REISTERSTOWN EL PASO RENTON CHARLOTTE SNELLVILLE MERCED LAS CRUCES DEDHAM CHAMBERSBURG EDISON INDIANAPOLIS TEMPLE TERRACE TULSA BRYN MAWR MOUNTAIN HOME MORGANTOWN SANTA ROSA HATTIESBURG ONTARIO FORT SMITH FORT MYERS KING OF PRUSSIA MORRIS SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 37 ST ZIP NM TX DE OR AK CA MD TX WA NC GA CA NM MA PA NJ IN FL OK PA AR WV CA MS CA AR FL PA IL 87109 75069 19702 97420 99508 95616 21136 79915 98057 28210 30078 95340 88011 02026 17201 08820 46260 33637 74133 19010 72653 26505 95404 39402 91762 72903 33919 19406 60450 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1215056239 1215061049 1215073705 1215080569 1215091087 1215097845 1215111869 1215116611 1215118492 1215118930 1215126438 1215134564 1215178835 1215185335 1215187802 1215900246 1215904131 1215915939 1215919113 1215919329 1215926993 1215930078 1215930276 1215931134 1215939186 1215957816 1215960992 1215967351 1215978945 PROVIDER NAME ADDRESS MINNESOTA SURGERY CENTER 2104 NORTHDALE BLVD NW, SUITE 220 PRESBYTERIAN SAMEDAY SURGERY CENTER AT BALLANTYNE 14215 LLC BALLANTYNE CORPORATE PLACE, INTERNAL MEDICINE GROUP PC 2301 HOUSE AVE STE 300, SADDLE BROOK SURGICENTER INC 289 MARKET STREET, CORPUS CHRISTI SURGICARE LTD 3636 S ALAMEDA ST, SUITE A NEWGATE SURGERY CENTER 5200 TAMIAMI TRL N, SUITE 202 SPECIALTY SURGERY CENTER AT FOUNTAIN VALLEY REGIONAL 11190 WARNER HOSPITAL AVE, LLCSUITE 212 UPPER BAY SURGERY CENTER, LLC 360 E PULASKI HWY, WHITE RIVER HEALTH SYSTEM,INC. 197 HOSPITAL DR, SUITE D DELPHOS AMBULATORY SURGERY CENTER INC 1775 E FIFTH ST, THE ARCADIA CA ENDOSCOPY ASC LP 488 E SANTA CLARA ST, SUITE 102 EMMAUS SURGICAL CENTER, LLC 57 ROUTE 46, SUITE 104 PACIFIC CATARACT & LASER INSTITUTE INC PC 115 NEW VIEW COURT NE, CENTER FOR PAIN MANAGEMENT, ASC LLC 3901 GREENSPRING AVE, SUITE 304 FISHERS AMBULATORY SURGERY CENTER, LLC 13914 STATE ROAD 238 EAST, SUITE 200 SUNRISE OPHTHALMOLOGY ASC LLC 3737 N PINE ISLAND RD, NEBRASKA SURGERY CENTER LLC 625 S 70TH ST, ENDOSCOPY CENTER OF MIDDLE GEORGIA LLC 610 THIRD STREET, VISION INSTITUTE OF MICHIGAN SURGERY CENTER PC 44650 DELCO BLVD, THE GASTRO-INTESTINAL CENTER 405 N UNIVERSITY AVE, NORTH RIVER SURGICAL CENTER, LLC 301 RICE MINE RD NE, MARIN HEALTH VENTURES INC 505 SIR FRANCIS DRAKE BLVD, TEXAS INTERNATIONAL ENDOSCOPY CENTER, LP 6620 MAIN ST, STE 1500 CUMBERLAND VALLEY SURGICAL CENTER, LLC 275 HIGHWAY 770, ALL CITY FAMILY HEALTH CARE 3632 NOSTRAND AVE, GROUND FLOOR SURGERY CENTER OF CENTRAL VIRGINIA 1834 GRAVES MILL RD, HOFFMAN ESTATES SURGERY CENTER 1555 BARRINGTON RD, DOB3 SUITE 0400 FRIENDSHIP AMBULATORY SURGERY CENTER 5550 FRIENDSHIP BLVD STE 270, SAPLING GROVE AMBULATORY SURGERY CENTER, LLC 240 MEDICAL PARK BLVD, STE 2400 SMA Informatics Confidential CITY ST ZIP MINNEAPOLIS CHARLOTTE CHEYENNE SADDLE BROOK CORPUS CHRISTI NAPLES FOUNTAIN VALLEY ELKTON CHEROKEE VILLAGE DELPHOS ARCADIA HACKETTSTOWN OLYMPIA BALTIMORE FISHERS SUNRISE LINCOLN MACON STERLING HEIGHTS LITTLE ROCK TUSCALOOSA GREENBRAE HOUSTON CORBIN BROOKLYN FOREST HOFFMAN ESTATES CHEVY CHASE BRISTOL MN NC WY NJ TX FL CA MD AR OH CA NJ WA MD IN FL NE GA MI AR AL CA TX KY NY VA IL MD TN 55433 28277 82001 07663 78411 34103 92708 21921 72529 45833 91006 07840 98506 21211 46037 33351 68510 31201 48313 72205 35406 94904 77030 40701 11229 24551 60169 20815 37620 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 38 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1215981113 1215981212 1215983135 1215986609 1215988308 1215990627 1215993100 1215994280 1215997929 1225001423 1225004625 1225023021 1225035090 1225036601 1225039761 1225042575 1225050347 1225058068 1225064736 1225064876 1225070527 1225075435 1225077241 1225082928 1225084163 1225091630 1225091721 1225091739 1225096134 PROVIDER NAME ADDRESS ENGLEWOOD SURGERY CENTER, LLC 3277 S LINCOLN AVE, WEST COAST SURGERY CENTER INC. 3772 KATELLA AVE, SUITE 107 SOUTHWESTERN EYE CENTER 1919 FLORENCE AVE, SOUTHERN ENDOSCOPY SUITE, LLC 763 OLD NORCROSS RD, MIAMI HAND CENTER, LLC 8905 SW 87TH AVE, SUITE 101 WESTSIDE SURGERY CENTER LTD 2731 PARK ST, GAINESVILLE SURG CTR LP 1945 BEVERLY RD, SLOAN EYE CLINIC 10 HOSPITAL CIR, HARRISBURG INTERVENTIONAL PAIN MGMT CTR 825 SIR THOMAS COURT, SUITE A GLENDALE OPHTHALMOLOGY ASC LP 607 N CENTRAL AVE, SUITE 103 MANKATO CLINIC ENDOSCOPY CENTER 1230 E MAIN ST, ARC OF GEORGIA, LLC 3215 SHRINE RD, SUITE 8 HMFW SURGERY CENTER LP 800 5TH AVE, STE 200 TALLGRASS SURGICAL CENTER, LLC 6001 SW 6TH AVE, SUITE 100 ENDOSCOPY CENTER OF ST THOMAS LP 4230 HARDING RD, SUITE 400 PACIFIC SURGERY CENTER LLC 1125 DARLENE LN, SUITE 201 STATE HILL SURGICENTER LLC 2630 WESTVIEW DR, PROCEDURE CENTER OF IRVINE INC. 16100 SAND CANYON AVE, SUITE 170 NMC SURGERY CENTER, L.P. 4948 NE STALLINGS DR, PARTNERSHIP ROCK HILL SURGERY CENTER, LP 198 S HERLONG AVE, LIBERTY CATARACT CENTER 1100 W COLLEGE ST, SOUTHWESTERN EYE CENTER 270 S CANDY LN, CORTEZ FOOT SURGERY CENTER P A 1800 CORTEZ RD W, SUITE B VISTA SURGERY CENTER 205 GRANDVIEW AVE, SUITE 401 OUTPATIENT SURGERY CENTER OF THE WOODLANDS 1441 WOODSTEAD CT, SUITE 100 GRAMERCY SURGERY CENTER, LTD 2727 GRAMERCY ST, EL PASO SURGERY CENTERS LP 1815 N STANTON ST, OUTPATIENT WOMEN'S AND CHILDREN'S SURGERY CENTER, 7700 FANNIN LTD ST, GAINESVILLE EYE CENTER, LLC 2061 BEVERLY RD, SMA Informatics Confidential CITY ENGLEWOOD LOS ALAMITOS KINGMAN LAWRENCEVILLE MIAMI JACKSONVILLE GAINESVILLE BATESVILLE HARRISBURG GLENDALE MANKATO BRUNSWICK FORT WORTH TOPEKA NASHVILLE EUGENE WYOMISSING IRVINE NACOGDOCHES ROCK HILL LIBERTY COTTONWOOD BRADENTON CAMP HILL THE WOODLANDS HOUSTON EL PASO HOUSTON GAINESVILLE SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 39 ST ZIP CO CA AZ GA FL FL GA AR PA CA MN GA TX KS TN OR PA CA TX SC MO AZ FL PA TX TX TX TX GA 80113 90720 86401 30045 33176 32205 30501 72501 17109 91203 56001 31520 76104 66615 37205 97401 19610 92618 75965 29732 64068 86326 34207 17011 77380 77025 79902 77054 30501 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1225096498 1225107014 1225122682 1225123227 1225127806 1225128424 1225133994 1225140510 1225144157 1225179716 1225179898 1225184153 1225188808 1225199482 1225221435 1225225154 1225225592 1225228547 1225230634 1225245723 1225252257 1225268915 1225275688 1225286354 1225297138 1225364268 1235100074 1235100314 1235102344 PROVIDER NAME AMADOR SURGERY CENTER COMMONWEALTH EYE CLINIC INC DERMATOLOGIC SURGERY CENTER LLC COMPREHENSIVE PAIN MANAGEMENT CENTER, INC. WILLOWBROOK SURGERY CENTER LTD ROCKVILLE AMBULATORY SURGERY, LP VALLEY AMBULATORY SURGICAL CENTER NORTHEAST AMBULATORY CENTER INC WENATCHEE VALLEY MEDICAL CENTER ATLANTA SPORTS MEDICINE SURGERY CENTER EYE SURGERY CENTER OF BEVERLY HILLS JEAN CHENG, M.D. INC. LOS ANGELES ENDOSCOPY CENTER ST MARKS SURGICAL CENTER LLC THE GALLERIA SURGERY CENTER PRESTONWOOD SURGERY CENTER LLC WESTERN CAROLINA ENDOSCOPY CENTER, LLC GULF COAST SURGICAL CENTER VALLEY EYE AND LASER CENTER, INC.,P.S. FRESNO ENDOSCOPY CENTER EYE ASSOCIATES SURGERY CENTER INC MAIN LINE PA ENDOSCOPY ASC, LP MAIN STREET SPECIALTY SURGERY CENTER, LLC ASC DEVELOPEMENT COMPANY, LLC WEST NORMAN ENDOSCOPY CENTER, LLC FRANCISCAN MEDICAL GROUP AUSTIN ENDOSCOPY CENTER I, LP SURGICARE, LLC THE HARLINGEN ENDOSCOPY CENTER LP SMA Informatics Confidential ADDRESS 223 CLINTON ROAD, SUITE 204 2353 ALEXANDRIA DR, SUITE 325 7701 GREENBELT RD, 504 7152 N SHARON #104, 13300 HARGRAVE, #310 11400 ROCKVILLE PIKE, SUITE 108 201 DRIFT COURT, 3 WOODLAND RD, STE 321 820 N CHELAN AVE, 3200 DOWNWOOD CIR NW, SUITE 670 240 S LA CIENEGA BLVD STE 260, 8990 GARFIELD ST STE 1, 3663 W 6TH ST, STE 304 6820 INTERNATIONAL CENTER BLVD, 1140 CONRAD COURT, 6957 W PLANO PKWY, SUITE 2000 2730 GEORGIA RD, 402 DUNN ST, 4011 TALBOT RD S, #210 7405 N FRESNO ST, 2100 LITTLE MOUNTAIN LN STE B, 1088 W BALTIMORE PIKE, SUITE 2407 280 S MAIN ST STE 100, 16900 SCIENCE DRIVE, SUITE 100 3101 W TECUMSEH RD, SUITE 100 5801 SOUNDVIEW DR, STE 150 8015 SHOAL CREEK BLVD, 300 5115 N CENTRAL AVE, 3101 S 77 SUNSHINESTRIP, SUITE B CITY JACKSON LEXINGTON GREENBELT FRESNO HOUSTON ROCKVILLE BETHLEHEM STONEHAM WENATCHEE ATLANTA BEVERLY HILLS RIVERSIDE LOS ANGELES FORT MYERS HAGERSTOWN PLANO FRANKLIN HOUMA RENTON FRESNO MOUNT VERNON MEDIA ORANGE BOWIE NORMAN GIG HARBOR AUSTIN PHOENIX HARLINGEN SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 40 ST ZIP CA KY MD CA TX MD PA MA WA GA CA CA CA FL MD TX NC LA WA CA WA PA CA MD OK WA TX AZ TX 95642 40504 20770 93720 77070 20852 18020 02180 98801 30327 90211 92503 90020 33912 21740 75093 28734 70360 98055 93720 98274 19063 92868 20715 73072 98335 78757 85012 78550 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1235104738 1235105248 1235106782 1235107939 1235112814 1235115239 1235117052 1235118043 1235132150 1235132481 1235137944 1235140385 1235146325 1235155730 1235160938 1235163171 1235165531 1235165606 1235178005 1235178146 1235187972 1235189739 1235192675 1235195033 1235195447 1235201369 1235202201 1235203233 1235204439 PROVIDER NAME OVERLAND PARK KS ENDOSCOPY ASC LLC GURLEY SURGERY CENTER VALLEY SURGERY CENTER, LP DECATUR HEALTHCARE LLC MT. PLEASANT SURGICAL CENTER, LTD. SURGERY CENTER OF CHESAPEAKE ALLEGANY AMBULATORY SURGERY CENTER AUGUSTA RETINA LASER SURGICARE EAST HOUSTON SURGERY CENTER, LLC CYPRESS AMBULATORY SURGERY CENTER METRO SURGERY CENTER LP ENDOSCOPY CENTER OF KINGSPORT WEBSTER AMBULATORY SURGERY CENTER, LP MONTPELIER SURGERY CENTER IMA ENDOSCOPY SURGICENTER P C SEVEN SPRINGS SURGERY CENTER LAKE SURGERY & ENDOSCOPY CENTER PHYSICIANS AFFILIATED CARE P.S.C. HUNTSVILLE ENDOSCOPY CENTER SUBURBAN ENDOSCOPY CENTER, LLC NOBLE SURGERY CENTER, INC. ATLANTIC GASTROENTEROLOGY ENDOSCOPY HACKENSACK ENDOSCOPY CENTER, LLC NORTH COAST SURGERY CENTER LTD GRESHAM STATION SURGERY CENTER LLC ST. MARY'S DEAN VENTURES INC. RHODE ISLAND DERMATOLOGY OBS HALLMARK SURGICAL CENTER, LLC FULTON COUNTY AMBULATORY SURGERY CENTER SMA Informatics Confidential ADDRESS 10200 W 105TH ST, 300 20TH AVE N, SUITE 102 1300 MABLE AVE, SUITE 1 1770 E LAKE SHORE DR, 2009 N JEFFERSON AVE, 844 BATTLEFIELD BLVD N, 911 SETON DR, 3685 WHEELER RD, SUITE 202 12950 EAST FRWY., SUITE 100 1300 E CYPRESS ST, STE E1 3131 W PEORIA AVE, 2204 PAVILION DR, SUITE 108 520 SOUTH ELM AVENUE, 2340 MONTPELIER DR, SUITE B 8895 BROADWAY, 2024 SEVEN SPRINGS BLVD, 8110 COUNTY ROAD 44 LEG A, 2200 E PARRISH AVE, BUILDING A 119 LONGWOOD DRIVE, 799 BLOOMFIELD AVENUE, SUITE 101 5021 W NOBLE AVE, SUITE B 2465 EMERALD PL, 170 PROPECT AVE, SUITE 10 3903 WARING RD, 831 NW COUNCIL DRIVE, SUITE 212 1025 REGENT ST, 3 WAKE ROBIN RD, UNIT 5 4130 HALLMARK PKWY, SUITE A 137 CTY HWY 128, CITY OVERLAND PARK NASHVILLE MODESTO DECATUR MT PLEASANT CHESAPEAKE CUMBERLAND AUGUSTA HOUSTON SANTA MARIA PHOENIX KINGSPORT WEBSTER GROVES SAN JOSE MERRILLVILLE NEW PORT RICHEY LEESBURG OWENSBORO HUNTSVILLE VERONA VISALIA GREENVILLE HACKENSACK OCEANSIDE GRESHAM MADISON LINCOLN SAN BERNARDINO JOHNSTOWN SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 41 ST ZIP KS TN CA IL TX VA MD GA TX CA AZ TN MO CA IN FL FL KY AL NJ CA NC NJ CA OR WI RI CA NY 66212 37203 95355 62521 75455 23320 21502 30909 77015 93454 85029 37660 63119 95116 46410 34655 34788 42303 35801 07044 93277 27834 07601 92056 97030 53715 02865 92407 12095 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1235209115 1235220682 1235229014 1235234055 1235239054 1235240813 1235241688 1235255605 1235257130 1235285628 1235289448 1235304312 1235308164 1235321571 1235332933 1235348335 1235352998 1235354002 1235363987 1235376104 1235393356 1235394529 1235395385 1235466863 1245201425 1245202472 1245203405 1245207687 1245215706 PROVIDER NAME ADDRESS CITY MISSISSIPPI FOOT AND SURGICAL CENTER, LLC 1915 DUNBARTON DRIVE, JACKSON FIFTH AVENUE SURGERY CENTER, LLC 1049 5TH AVE, NEW YORK GREENBELT SURGERY CENTER INC 8824 CUNNINGHAM DRIVE, GREENBELT SURGERY CENTER BERWYNINC HEIGHTS NEW JERSEY EYE CENTER, P.A. 1 N WASHINGTON AVE, BERGENFIELD MAIN LINE PA ENDOSCOPY ASC LP 333 E CITY LINE AVE, TWO BALA PLAZA, SUITE 30 BALA CYNWYD NORTH MISSISSIPPI AMBULATORY SURGERY CENTER LLC 589 GARFIELD ST, TUPELO SAN ANTONIO ASC L.P. 5255 PRUE RD, SUITE 100 SAN ANTONIO EAGLE EYE SURGERY AND LASER CENTER L.L.C. 3090 E GENTRY WAY STE 100, MERIDIAN SWISS AVENUE SURGICENTER MANAGEMENT LLC 4103 SWISS AVE STE B, DALLAS DAYTON EYE SURGERY CENTER L.L.C. 81 SYLVANIA DR, DAYTON WARNER ROBINS PARTNERS 220 CORDER ROAD, WARNER ROBINS BERGMAN EYE SURGERY CENTER, LLC 10212 GOVERNOR LANE BLVD, SUITE 1004 WILLIAMSPORT MARY KAY MICHELIS MD INC 1739 W AVENUE J, LANCASTER SURGICARE SURGICAL ASSOCIATES OF MAHWAH, LLC 400 FRANKLIN TPKE, MAHWAH VBOA ASC PARTNERS, L.P. 5700 NORTH EXPRESSWAY 77/83, BROWNSVILLE EAST BAY ENDOSCOPY CENTER LLC 109 CLOCK TOWER SQUARE, PORTSMOUTH D & P, LLC 2086 GENERALS HWY, SUITE 101 ANNAPOLIS JAMES P THOMPSON MD PA 8420 OCEAN GTWY, EASTON CORONADO SURGERY CENTER, LLC 2779 W HORIZON RIDGE PKWY, SUITE 140 HENDERSON GASTROENTEROLOGY & SURGERY CENTER OF ARKANSAS, 401II,COMMERCE LLC. ST, SUITE 740 NASHVILLE PHYSICIANS OUTPATIENT SURGERY CENTER LLC 1000 NE 56TH ST, FT LAUDERDALE ACCOMODATIVE SURGERY CENTER, L.L.C. 7001 S EDGERTON RD STE A, BRECKSVILLE TENN SM LLC 5002 CROSSINGS CIR, STE 110 MOUNT JULIET AESTHETIC ASSOCIATES INC., P.S 1101 MADISON ST, SUITE 1280 SEATTLE ANDRE J GOLINO MD AND ASSOCIATES PA 130 BUTLER ST, WEST PALM BEACH WILLOUGHBY ASC LLC 34940 RIDGE RD, SUITE B WILLOUGHBY KINGSTON OPHTHALMOLOGY ASC LLC 601 WYOMING AVE, KINGSTON CDI TWIN CITIES ASC LLC 5775 WAYZATA BOULEVARD, SUITE 190 ST LOUIS PARK THE FOOT SURGERY CENTER OF SHREVEPORT 9308 MANSFIELD RD, SUITE 300 SHREVEPORT SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 42 ST ZIP MS NY MD NJ PA MS TX ID TX OH GA MD CA NJ TX RI MD MD NV TN FL OH TN WA FL OH PA MN LA 39216 10028 20740 07621 19004 38801 78240 83642 75204 45440 31088 21795 93534 07430 78526 02871 21401 21601 89052 37219 33334 44141 37122 98104 33407 44094 18704 55416 71118 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1245216928 1245218411 1245224286 1245233220 1245233410 1245233923 1245239656 1245241694 1245242817 1245246875 1245253533 1245263292 1245266790 1245276195 1245285857 1245287697 1245288257 1245291350 1245295823 1245297662 1245297829 1245326974 1245327493 1245331628 1245340603 1245343912 1245346923 1245352327 1245354356 PROVIDER NAME ADDRESS SCRIPPS HEALTH 3811 VALLEY CENTRE DR, QUAD CITY ENDOSCOPY, L.L.C. 4340 7TH STREET, TIPPECANOE ENDOSCOPY INC 1210 BOARDMAN CANFIELD RD, NORTHRIDGE SURGERY CENTER, LP 647 MYATT DRIVE, SURGICAL SPECIALTY CENTER OF NORTHEASTERN PENNSYLVANIA, 190 WELLESLLC ST, SPECTRA EYE INSTITUTE, LLC 9849 W THUNDERBIRD BLVD, SURGERY CENTER OF GILBERT, LLC 2450 EAST GUADALUPE ROAD, SUITE 101 GAINESVILLE UROLOGY ASC LLC 1240 JESSE JEWELL PKWY SE, SUITE 250 SOUTHWIND ENDOSCOPY CENTER 3725 CHAMPION HILLS DR, #2000 JEFFERSON DAY SURGERY CENTER 220 W JEFFERSON ST, FCG LLC 1403 RHAWN STREET, CHATTANOOGA PAIN MANAGEMENT CENTER, LLC 1016 EXECUTIVE DRIVE, ABILENE SPINE & JOINT SURGERY CENTER PA 1888 ANTILLEY ROAD, SOUTHERN CRESCENT ENDOSCOPY SUITE, PC 7402 DAVIDSON PKWY S, AMBULATORY SURGERY CENTER OF EAGER STEVEN E MD 2388 GEN N CALIFORNIA PTR ST, EAGLE HIGHLANDS SURGERY CENTER LLC 6850 PARKDALE PL, SURGICAL CENTER OF GREENSBORO, LLC 1211 VIRGINIA ST, ELLIOT 1 DAY SURGERY CENTER 1 ELLIOT WAY, ATLANTA SURGERY CENTER, LTD 5505 PEACHTREE DUNWOODY RD NE, SUITE 150 WOODLAND SURGERY CENTER 2325 N CASALOMA DR, THE SURGERY CENTER, LLC 9500 KANIS RD, SUITE 401 BEVERLY HILLS ADVANCED SURGERY INSTITUTE 120 S SPALDING DR STE 100, THE SURGERY CENTER OF ALTA BATES SUMMIT MEDICAL 3875 CENTER, TELEGRAPH LLC AVE, BERNSTEIN, HILLIKER, HARTZELL EYE CENTER 66 ENTERPRISE BLVD, MOUNTAIN EMPIRE CATARACT & EYE SURGERY CENTER 3185 W STATE ST, SUITE 2020 WICHITA ENDOSCOPY CENTER LLC 9050 E 29TH ST N, SUITE 100 AESTHETIC PLASTIC SURGERY INSTITUTE OF LOUISVILLE, 444 LLCS 1ST ST, SUITE 201 GASTROINTESTINAL ASSOCIATES ENDOSCOSCOPY CENTER 1405 N STATE ST, SUITE 300 APPALACHIAN GASTROENTEROLOGY PA 870 STATE FARM RD, SUITE 102 SMA Informatics Confidential CITY SAN DIEGO MOLINE YOUNGSTOWN MADISON FORTY FORT SUN CITY GILBERT GAINESVILLE MEMPHIS BOISE PHILADELPHIA HIXSON ABILENE STOCKBRIDGE STOCKTON INDIANAPOLIS GREENSBORO MANCHESTER ATLANTA APPLETON LITTLE ROCK BEVERLY HILLS OAKLAND ALLENWOOD BRISTOL WICHITA LOUISVILLE JACKSON BOONE SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 43 ST ZIP CA IL OH TN PA AZ AZ GA TN ID PA TN TX GA CA IN NC NH GA WI AR CA CA PA TN KS KY MS NC 92130 61265 44512 37115 18704 85351 85234 30501 38125 83702 19111 37343 79606 30281 95204 46254 27401 03103 30342 54912 72205 90212 94609 17810 37620 67226 40202 39202 28607 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1245358050 1245367051 1245367309 1245372531 1245393602 1245399757 1245408483 1245427228 1245436823 1245450295 1245471788 1245482280 1245566744 1255303517 1255309803 1255309951 1255311395 1255311635 1255314662 1255323879 1255325080 1255332805 1255338000 1255339628 1255342366 1255345229 1255346045 1255347050 1255351714 PROVIDER NAME ADDRESS CITY ST RETINA LASER EYE CENTER 317 N DELAWARE ST, KENNEWICK WA STEVEN G. KHWARG, M.D. A PROFF. CORP. DBA 201 S ALVARADO ST, SUITE 718 LOS ANGELES CA SURGICENTER , LLC 500 LAKEHURST RD, TOMS RIVER NJ NEWPORT BAY SURGERY CENTER, LLC 3333 W COAST HWY, SUITE 100 NEWPORT BEACH CA MARYAM RAHBAR, MD, INC. 17822 BEACH BLVD STE 101, HUNTINGTON BEACHCA KUMAR SURGICAL CENTER 2450 WALTON BLVD, ROCHESTER HILLS MI CONSULTANTS IN GASTROENTEROLOGY, INC ENDOSCOPY 7530 CENTER FREDLE DR, CONCORD TWP OH SUMMIT AMBULATORY SURGICAL CENTER, LLC 8322 BELLONA AVE, SUITE 390 TOWSON MD EASTERN MASSACHUSETTS SURGERY CENTER LLC 100 MORSE STREET, NORWOOD MA MDSINE, LLC 55 SAINT GEORGE RD, SPRINGFIELD MA PACIFIC CATARACT & LASER INSTITUTE INC PC 1331 NW LOVEJOY STREET, SUITE 750 PORTLAND OR NORTHWEST AMBULATORY SURGERY CENTER, LLC 1515 NW 18TH AVE, SUITE 200 PORTLAND OR CHESTERFIELD ASC, LLC 1001 CHESTERFIELD PKWY E, SUITE 102 CHESTERFIELD MO ST DOMINIC AMBULATORY SURGERY CENTER L L C 970 LAKELAND DR, SUITE 15 JACKSON MS GREATER SACRAMENTO SURGERY CENTER 2288 AUBURN BLVD, 201 SACRAMENTO CA BAYFRONT SAME DAY SURGERY CENTER, LLC. 603 7TH ST S, ST PETERSBURG FL PARRIS-CASTORO EYE CARE CENTER, P.A. 620 BOULTON ST, 2ND FLOOR BEL AIR MD MELBOURNE ASC LP 1401 S APOLLO BLVD, SUITE B MELBOURNE FL MAZZOCCO AMBULATORY SURGICAL CENTER 15243 VANOWEN ST, VAN NUYS CA PICKAWAY SURGICAL CENTER LTD 1235 S COURT ST, CIRCLEVILLE OH EYELID SURGERY CENTER, LLC 15620 NEW HAMPSHIRE CT, FORT MYERS FL PRAIRIELAND OUTPATIENT DIAGNOSTIC CENTER 1302 FRANKLIN AVE, SUITE 1000 NORMAL IL GUAM SURGICENTER, LLC 633 CAROLS CAMACHO RD, STE. 101 GUAM MEDICAL TAMUNING PLAZA GU BISMARCK SURGICAL ASSOCIATES, LLC 600 N 9TH ST, BISMARCK ND MILLMAN-DERR CENTER FOR EYE CARE, P.C. 375 BARCLAY CIR, ROCHESTER HILLS MI BEACON ORTHOPAEDICS SURGERY CENTER, LLC 501 E-BUSINESS WAY, CINCINNATI OH OMEGA SURGERY CENTER LLC 11606 NICHOLAS ST, SUITE 200 OMAHA NE MARYLAND EYE SURGERY CENTER, L.L.C. 800 PRINCE FREDERICK BLVD., PRINCE FREDERICK MD FOOT AND ANKLE SURGICAL ASSOCIATES INC PS 1610 BISHOP RD SW, SUITE 101-103 TUMWATER WA SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 44 ZIP 99336 90057 08755 92663 92647 48309 44077 21204 02062 01104 97209 97209 63017 39216 95821 33701 21014 32901 91405 43113 33908 61761 96913 58501 48307 45241 68154 20678 98512 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1255352712 1255353389 1255354486 1255361259 1255368551 1255373601 1255373676 1255376653 1255377446 1255385027 1255386348 1255390670 1255394771 1255395042 1255396305 1255397808 1255397964 1255404216 1255404398 1255429700 1255434221 1255436028 1255446910 1255459020 1255472841 1255486494 1255500427 1255500781 1255503553 PROVIDER NAME ADDRESS METROPOLITAN SURGERY CENTER, LLC 433 HACKENSACK AVE, LL01 SOMERSET AMBULATORY SURGICAL CENTER, LLC 1 US HIGHWAY 206 N, SIMI SURGERY CENTER INC. 1920 E. LOS ANGELES AVE., CENTRAL JERSEY SURGERY CENTER, LLC 97 CORBETT WAY, SOUTHWESTERN EYE CENTER 2005 INJO DR, SUITE 102 CHESTERFIELD AMBULATORY SURGERY CENTER, LP 17050 BAXTER ROAD, SUITE 110 EYE SURGERY CENTERS OF NEW MEXICO, LLC 2947 RODEO PARK DR E, ENDOSCOPY CENTER OF SOUTH JERSEY P C 602 W SHERMAN AVE, SURGICENTERS OF AMERICA 1040 E MCDOWELL RD, COLUMBIA SURGERY CENTER INC 11055 LITTLE PATUXENT PKWY, SUITE 106 SURGERY CENTER OF CHATTANOOGA LP 400 N HOLTZCLAW AVE, CARROLL COUNTY EYE SURGERY CENTER 410 MALCOLM DR, SUITE B DOCTORS HOSPITAL SURGERY CENTER, L.P. 635 RONALD REAGAN DR, SALEM SURGERY CENTER, LP 32 STILES RD, COLORADO SPRINGS SURGERY CENTER LTD 1615 MEDICAL CENTER PT, JOLIET SURGERY CENTER LIMITED PARTNERSHIP 998 129TH INFANTRY DRIVE, SURGERY CENTERS OF DES MOINES LTD 5901 WESTOWN PKWY, #100 ARROWHEAD PLASTIC SURGEONS, INC. 1360 ARROWHEAD RD., WARMINSTER AMBULATORY SURGERY CENTER, LLC 401 YORK RD, OASIS SURGERY CENTER, LP 815 AUTO CENTER DR, CARROLLTON ORTHOPAEDIC SURGERY CENTER 150 CLINIC AVE, SUITE 101 PASADENA SURGERY CENTER 1035 S FAIR OAKS AVE, SUITE 101 DOWNTOWN BALTIMORE SURGERY CENTER, LLC 20 W WEST ST, JAMES L GRISEZ, MD 200 STATION WAY, STE 200B LYNN EYE SURGICENTER 2230 LYNN RD STE 106, AMBULATORY SURGERY CENTER OF BOCA RATON, LLC1905 CLINTMOORE ROAD, SUITE 300 LES BOIS SURGERY CENTER, LLP 8950 W EMERALD ST STE 164, IOWA CITY AMBULATORY SURGICAL CENTER, LLC 2963 NORTHGATE DR, WILLOUGHBY SURGERY CENTER, LLC 6025 COMMERCE CIR, SUITE 1 SMA Informatics Confidential CITY ST HACKENSACK NJ SOMERVILLE NJ SIMI VALLEY CA EATONTOWN NJ LAKE HAVASU CITY AZ CHESTERFIELD MO SANTA FE NM VINELAND NJ PHOENIX AZ COLUMBIA MD CHATTANOOGA TN WESTMINSTER MD EVANS GA SALEM NH COLORADO SPRINGS CO JOLIET IL WEST DES MOINES IA MAUMEE OH WARMINSTER PA PALMDALE CA CARROLLTON GA PASADENA CA BALTIMORE MD ARROYO GRANDE CA THOUSAND OAKS CA BOCA RATON FL BOISE ID IOWA CITY IA WILLOUGHBY OH SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 45 ZIP 07601 08876 93065 07724 86403 63005 87505 08360 85006 21044 37404 21157 30809 03079 80907 60435 50266 43537 18974 93551 30117 91105 21230 93420 91360 33496 83704 52245 44094 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1255510525 1255526265 1255529756 1255577045 1255592002 1265401202 1265404115 1265404669 1265405203 1265407142 1265431670 1265434740 1265435176 1265435614 1265437743 1265438303 1265439632 1265439830 1265442537 1265455463 1265462881 1265465025 1265466288 1265468128 1265471510 1265481147 1265484810 1265484851 1265486849 PROVIDER NAME ADDRESS EYE SURGERY CENTER OF MICHIGAN LLC 3455 LIVERNOIS, CONROE TX ENDOSCOPY ASC LLC 1501 RIVER POINTE DR, SUITE 260 CHRISTOPHER F AMSDEN MEDICAL CORPORATION 1524 MCHENRY AVE STE 465, MAPLE LAWN SURGERY CENTER 7625 MAPLE LAWN BLVD, SUITE 110 MID CAROLINA GASTROENTEROLOGY ASSOCIATES, PA 110 DENNIS DR, NORTHWEST ORTHOPAEDIC SPECIALISTS, P.S. 601 W 5TH AVE, SUITE 500 WILLMAR SURGERY CENTER, LLP 1320 1ST ST S, NORTH RIVER SURGERY CENTER 2209 WILDWOOD AVE, BLOOMFIELD EYE SURGERY CENTER LLC 4 NORTHWESTERN DR, NAPLES DAY SURGERY LLC 311 9TH ST N, STE 200 AUBURN SURGERY CENTER INC. 300 S MOUNT AUBURN RD, STE 200 THE SALLY BALIN AMBULATORY SURGICAL CENTER 110 CHESLEY DR, POCONO AMBULATORY SURGERY CENTER LTD 1 VETERANS PL, ANMED HEALTH MEDICUS SURGERY CENTER LLC 107 PROFESSIONAL CT, REGIONAL UROLOGY ASC LLC 255 BERT KOUNS LOOP, EYE SURGERY CENTER OF CHATTANOOGA, LLC 7268 JARNIGAN RD, STE 104 CONWAY ENDOSCOPY CENTER, INC. 455 HOGAN LN, THE ENDOSCOPY CENTER OF SOUTHEAST GEORGIA, INC200 MAPLE DR, BRIGHTON SURGERY CENTER 980 WESTFALL RD, SUITE 300 THE ENDOSCOPY CENTER AT BEL AIR 620 W MACPHAIL RD, SUITE 104 WOOSTER OPHTHALMOLOGISTS, INC. 3519 FRIENDSVILLE RD, GEORGIA SURGICAL CENTERS, INC 2550 WINDY HILL RD SE, SUITE 215 TAMARAC SURGERY CENTER LLC 4485 N STATE ROAD 7, SCHERL CHESSLER ZINGLER SPINNELL & MEININGER MD1555 PA CENTER AVENUE, SURGI-CENTER OF WINCHESTER, INC 1860 AMHERST ST, MANALAPAN SURGERY CENTER PA 50 FRANKLIN LN, SUITE 101 ENDOSCOPY ASSOCIATES, INC. 44 W RIVER ST, FIRST FLOOR VERO BEACH SURGERY CENTER 845 37TH PL, FEATHERSTONE PARTNERSHIP LP 1016 FEATHERSTONE RD, SMA Informatics Confidential CITY ST ZIP TROY CONROE MODESTO FULTON SANFORD SPOKANE WILLMAR SHERWOOD BLOOMFIELD NAPLES CAPE GIRARDEAU MEDIA STROUDSBURG ANDERSON SHREVEPORT CHATTANOOGA CONWAY VIDALIA ROCHESTER BEL AIR WOOSTER MARIETTA LAUDERDALE LAKES FORT LEE WINCHESTER MANALAPAN PROVIDENCE VERO BEACH ROCKFORD MI TX CA MD NC WA MN AR CT FL MO PA PA SC LA TN AR GA NY MD OH GA FL NJ VA NJ RI FL IL 48083 77304 95350 20759 27330 99204 56201 72120 06002 34102 63703 19063 18360 29621 71106 37421 72034 30474 14618 21014 44691 30067 33319 07024 22601 07726 02904 32960 61107 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 46 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1265487474 1265488563 1265494553 1265495451 1265511463 1265519821 1265522478 1265527162 1265527899 1265534556 1265538151 1265542849 1265544191 1265546691 1265561419 1265564371 1265572606 1265574768 1265609945 1265614523 1265618904 1265624696 1265657258 1265672356 1265676993 1275501512 1275503906 1275507527 1275510141 PROVIDER NAME ADDRESS HORSESHOE SURGERY CENTER, LLC 1542 GOLF COURSE RD, SUITE 105 SYRACUSE ASC, LLC 225 GREENFIELD PKWY, SUITE 105 CORAL VIEW SURGERY CENTER 8390 W FLAGLER ST, SUITE 216 EXECUTIVE WOODS AMBULATORY SURGERY CENTER LLC 3 ATRIUM DR, SUITE 150 INGRAM INVESTMENTS LLC 2706 WEST CUTHBERT, BUILDING A SEVEN HILLS SURGERY CENTER 876 SEVEN HILLS DR, LANDOVER AMBULATORY SURGERY, LP 1300 MERCANTILE LN, SUITE 190 VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC 1405 SE 164TH AVE STE 102, METHODIST PAIN MANAGEMENT, LLC ONE LAYFAIR DR, SUITE 400 SOUTH FLORIDA AMBULATORY SURGICAL CENTER LLC 6110 SW 70TH ST, SUFFOLK SURGERY CENTER 1500 WILLIAM FLOYD PKWY, GREAT LAKES EYE SURGERY CENTER LLC 2393 SCHUST RD, CIGNA OUTPATIENT SURGERY 755 E MCDOWELL RD, WAYNE SURGICAL CENTER, LLC 307 HAMBURG TURNPIKE, AUGUSTA ENDOSCOPY CENTER, LLC. 393 N BELAIR RD, HOYEOL YANG MD PS 98 COLUMBIA POINT DR, UNITED SURGICAL ASSOCIATES, L.L.C. 651 W MINGUS AVE, SUITE 2A ENDOSCOPY CENTER OF LONG ISLAND LLC 711 STEWART AVENUE, SUITE 114 PACIFIC CATARACT AND LASER INSTITUTE INC PC 19801 SW 72ND AVE, SUITE 150 SAM NAFICY, MD, PS, INC 1110 112TH AVE NE, SUITE 150 JACKSON GASTROENTEROLOGY CENTER, LLC 4400 ANN ARBOR ROAD, CENTRAL OHIO UROLOGY SURGERY CENTER, LLC 3100 PLAZA PROPERTIES BOULEVARD, SUITE 320 EYE SURGERY CENTER OF NORTH ALABAMA, INC. 3501 MEMORIAL PKWY SW, RIVERSIDE SURGICAL CENTER,LLC 7207 GOLDEN WINGS ROAD, SUITE 2 SKIN CANCER AND RECONSTRUCTIVE SURGERY CENTER, 180 LLCNEWPORT CENTER DR, SUITE 157 NORTHWEST KANSAS SURGERY CENTER 1904 E 29TH STREET, JERVEY EYE CENTER,LLC 1 DOCTORS DR, ENDOSCOPY CENTER OF NORTHWEST CONNECTICUT 245 ALVORD PARK RD, SUITE B NEOSPINE PUYALLUP SPINE CENTER, LLC 1519 3RD ST SE, SUITE 102 SMA Informatics Confidential CITY GRAND RAPIDS LIVERPOOL MIAMI ALBANY MIDLAND HENDERSON LARGO VANCOUVER JACKSON SOUTH MIAMI SHIRLEY SAGINAW PHOENIX WAYNE EVANS RICHLAND COTTONWOOD GARDEN CITY TUALATIN BELLEVUE JACKSON COLUMBUS HUNTSVILLE JACKSONVILLE NEWPORT BEACH HAYS GREENVILLE TORRINGTON PUYALLUP SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 47 ST ZIP MN NY FL NY TX NV MD WA MS FL NY MI AZ NJ GA WA AZ NY OR WA MI OH AL FL CA KS SC CT WA 55744 13088 33144 12205 79701 89052 20774 98683 39232 33143 11967 48603 85006 07470 30809 99352 86326 11530 97062 98004 49202 43219 35801 32244 92660 67601 29605 06790 98372 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1275513806 1275515157 1275516718 1275519373 1275522849 1275530271 1275532889 1275536328 1275536393 1275541427 1275545279 1275548158 1275564346 1275569121 1275574154 1275580813 1275594012 1275595746 1275596264 1275596314 1275597056 1275598302 1275599086 1275607616 1275608218 1275619215 1275629081 1275638413 1275639023 PROVIDER NAME ADDRESS PINNACLE CATARACT AND LASER INSTITUTE LLC 4648 W SPENCER ST, ROCKY MOUNTAIN SURGICAL CENTER, LLC 1450 ELLIS ST, SUITE 101 PREMIER SURGICAL CENTER, INC 5680 W GAGE ST, PROGRESSIVE LASER SURGICAL INSTITUTE 1300 BROADCASTING RD, SUNG J. YOO, M.D., INC. 18897 COLIMA RD, A DUBUQUE REGIONAL AMBULATORY SURGICAL CENTER,1500 LLC ASSOCIATES DR, COAST SURGERY CENTER L P 3445 PACIFIC COAST HWY, #110 BELLAIRE OUTPATIENT SURGERY CENTER, LLP 7200 OAKMONT BOULEVARD, MEDICAL CENTER SURGERY ASSOCIATES 11377 CORTEZ BLVD, PINE BLUFF ENDOSCOPY CENTER 1609 W 40TH AVE, SUITE 312 SURGERY CENTER OF COLUMBIA 305 N KEENE ST STE 107, DIGESTIVE DIAGNOSTIC CENTER INC 333 GELLERT BLVD, STE 111 CEDAR OAKS SURGERY CENTER 706 N BURKARTH RD, SOUTHWESTERN EYE CENTER 560 N CAMINO MERCADO, SUITE 1 DOCTORS SURGERY CENTER 3211 SUGAR HILL RD, SURGERY CENTER AT DURANT LLC 1400 BRYAN DR, VANTAGE SURGERY CENTER 622 ABBOTT ST, SUITE A REGIONAL SURGICAL CENTRE, INC. 2525 HIGHWAY 1 S, SUITE C CAROLINA REGIONAL SURGERY CENTER. LTD 1021 MEDICAL CIR, SUITE 100 JOHNSON COUNTY SURGERY CENTER, L.P. 8800 BALLENTINE ST, SURGERY CENTER OF ROME, LP 16 JOHN MADDOX DR NW, WAUWATOSA SURGERY CENTER LIMITED PARTNERSHIP10900 W POTTER RD, BELLEVILLE SURGICAL CENTER LTD 28 N 64TH ST, MARK A. PETROFF, MD. PC 17720 JEAN WAY STE 100, ZEITER EYE MEDICAL GROUP, INC. 117 N SAN JOAQUIN ST, KAISER FOUNDATION HOSPITALS 9900 SE SUNNYSIDE RD, VISION CARE OF MAINE LLC AMBULATORY SURGERY CENTER 1 RIDGEWOOD DR, ALLIANCE SURGERY CENTER INC 7957 PAINTER AVE, STE 103 SURGICAL CENTER OF BURLINGTON COUNTY, INC 225 SUNSET RD, SMA Informatics Confidential CITY ST ZIP APPLETON BOZEMAN BOISE WYOMISSING ROWLAND HEIGHTS DUBUQUE TORRANCE FORT WORTH BROOKSVILLE PINE BLUFF COLUMBIA DALY CITY WARRENSBURG CASA GRANDE TEXARKANA DURANT SALINAS GREENVILLE MYRTLE BEACH OVERLAND PARK ROME WAUWATOSA BELLEVILLE LAKE OSWEGO STOCKTON CLACKAMAS BANGOR WHITTIER WILLINGBORO WI MT ID PA CA IA CA TX FL AR MO CA MO AZ AR OK CA MS SC KS GA WI IL OR CA OR ME CA NJ 54914 59715 83706 19610 91748 52002 90505 76132 34613 71603 65201 94015 64093 85122 71854 74701 93901 38701 29572 66214 30165 53226 62223 97035 95202 97015 04401 90602 08046 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 48 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1275639387 1275642480 1275645210 1275645574 1275647901 1275649063 1275665911 1275681579 1275682627 1275687873 1275700957 1275710436 1275718405 1275719981 1275725673 1275740839 1275762957 1275774747 1285603100 1285608075 1285609602 1285610394 1285612812 1285622845 1285630160 1285635417 1285639062 1285642652 1285651182 PROVIDER NAME ADDRESS PATIENT CARE ASSOCIATES, LLC 500 GRAND AVE, EGNM, LLC 17015 OLD ORCHARD ROAD, UNIT 4 DESERT CLIFFS AMBULATORY SURGICAL FACILITY, INC. 2250 WEST SOUTHERN AVE, SUITE 101 PARKWAY SURGERY CENTER 1485 PARKWAY, PERMIAN BASIN SURGICAL CARE CENTER 4200 ANDREWS HWY, MID-SOUTH GASTROENTEROLOGY GROUP, INC. 1417 MONROE AVE, OKLAHOMA CATARACT AND LASER CENTER 63223 E 290 RD, DOCTORS SURGERY CENTER, A MEDICAL CORPORATION 10900 WARNER AVE, SUITE # 101A SUMMIT VIEW SURGERY CENTER, LLC 7730 S BROADWAY, DERMATOLOGY ASSOCIATES OF KENTUCKY, PSC 250 FOUNTAIN CT, PACIFIC CATARACT AND LASER INSTITUTE INC PC 2822 S VISTA AVENUE, HANOVER PARKWAY SURGERY CENTER, LLC 7300 HANOVER DRIVE, SUITE 204 SOUTHEAST TREATMENT CENTER LLC 88 LINDSEY LN, SURGERY CENTER OF KEY WEST LLC 931 TOPPINO DR, GASTOENTEROLOGY CONSULTANTS OF TUSCALOOSA INC 100 RICE MINE RD N, STE E EYE SURGERY CENTER OF NORTH FLORIDA LLC 7205 BONNEVAL ROAD, CENTRAL MINNESOTA SURGICAL CENTER, LLC 2000 23RD ST S, STE 305 CHRISTIANA SPINE AMBULATORY SURGICAL CENTER, LLC 1101 TWIN C LANE, SUITE 102 MEMPHIS EYE AND CATARACT AMBULATORY SURGERY6485 CENTER POPLAR INC AVE, PUEBLO CO OPHTHALMOLOGY ASC LLC 1402 FORTINO BLVD, OCALA FL ASC LLC 2207 SW 1ST AVE, JO-ANN E. HANEY-TILTON M.D 95 CHAPEL ST, FIRST FLOOR ENDOSCOPY CENTER OF SILICON VALLEY INC. 2410 SAMARITAN DR, 101 PHYSICIANS' SURGERY CENTER OF FAYETTEVILLE, LLC 3733 N BUSINESS DR, SUITE #101 NOVAMED EYE SURGERY CENTER OF NORTH COUNTY, 900 LLC N HIGHWAY 67, SURGERY CENTER OF NORTH CENTRAL INDIANA LLC 330 N WABASH AVE, #200 OHIO ORTHOPEDIC SURGERY INSTITUTE LLC 4605 SAWMILL RD, STE 101 SOUTH PALM AMBULATORY SURGERY CENTER, LLC 1905 CLINT MOORE RD, SUITE 115 FRIST SCOVILLE MEDICAL GROUP 300 20TH AVE N, 8TH FLOOR SMA Informatics Confidential CITY ENGLEWOOD LEWES MESA BLACKFOOT MIDLAND MEMPHIS GROVE FOUNTAIN VALLEY LITTLETON LEXINGTON BOISE GREENBELT KINGSLAND KEY WEST TUSCALOOSA JACKSONVILLE SARTELL NEWARK MEMPHIS PUEBLO OCALA NORWOOD SAN JOSE FAYETTEVILLE FLORISSANT MARION COLUMBUS BOCA RATON NASHVILLE SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 49 ST ZIP NJ DE AZ ID TX TN OK CA CO KY ID MD GA FL AL FL MN DE TN CO FL MA CA AR MO IN OH FL TN 07631 19958 85202 83221 79703 38104 74344 92708 80122 40509 83705 20770 31548 33040 35406 32256 56377 19713 38119 81008 34474 02062 95124 72703 63031 46952 43220 33496 37203 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1285655464 1285664300 1285664466 1285673186 1285675678 1285678979 1285687145 1285690073 1285692004 1285696500 1285707174 1285718981 1285736207 1285738682 1285741314 1285746263 1285767822 1285768903 1285797654 1285815522 1285825075 1285870303 1285872945 1285874065 1285889378 1295060069 1295702942 1295708246 1295708964 PROVIDER NAME ADDRESS ATLANTA EYE INTERNATIONAL SURGERY CENTER 830 W PEACHTREE ST NW, SUITE 101 PHYSICIANS OUTPATIENT SURGERY CENTER, LLC 1933 WASHINGTON BLVD, NEWPORT BEACH CENTER FOR SURGERY, LLC 400 NEWPORT CENTER DR, STE. 102 BERKSHIRE COSMETIC & RECONSTRUCTIVE SURGERY CENTER 426 SOUTH ST, FULLERTON SURGERY CENTER INC 4849 W FULLERTON AVE, BAY SURGERY CENTERS LLC 116 DEFENSE HWY, SUITE 403 SHORELINE ASC, INC. 1298 E SHERMAN BLVD, BIRMINGHAM OUTPATIENT SURGERY CENTER LTD 2720 UNIVERSITY BLVD, TEC NORTH LLC 629 DELOZIER WAY, SUITE 100 SUTTER SURGERY CENTER LP 75 SCRIPPS DR, SOUTHERN NEW ENGLAND SURGERY CENTER 738 WASHINGTON ST, MITCHELL A BARBER DPM ASC LLC 7350 VAN DUSEN RD, SUITE 310 PODIATRY GROUP OF ANNAPOLIS 139 OLD SOLOMONS ISLAND ROAD, SUITE C NOVA SURGICENTER, LLC 120 S SPALDING DR, STE. 205 WENATCHEE VALLEY MEDICAL CENTER 840 E HILL AVE, ORTHOPAEDIC SURGICAL CENTER OF THE NORTH SHORE ONE ORTHOPEDICS DRIVE, ARIZONA SURGICAL SPECIALISTS CENTER 1984 E BASELINE RD, SURGERY CENTER OF RENO, LLC 343 ELM ST, SUITE 100 PLASTIC SURGICAL ASSOCIATES OF JOHNSTOWN INC 415 NAPOLEON PL, KZMSS AGAIN LLLP 201 WEST GUAVA STREET, SUNNYSIDE SURGERY CENTER, LLC 3345 S HOLMES AVE STE B, LAPORTE MEDICAL GROUP SURGICAL CENTER, LLC 900 I ST, SUITE 1 MONTEREY PENINSULA SURGERY CENTER MUNRAS AVE 665 MUNRAS AVE, SUITE 100 WEST CHASE SURGERY CENTER LTD 10901 SHELDON RD, PARADGIM CLINICAL ASSOCIATES LLC 4 WEST RD, SUITE B-1 TIMONIUM SURGERY CENTER, LLC 1954 GREENSPRING DR, LL18 GRAPEVINE SURGICARE PARTNERS LTD 2040 W STATE HIGHWAY 114, EAST COLUMBUS SURGERY CENTER LLC 50 MCNAUGHTEN ROAD, STE 102 COLUMBIA TN ENDOSCOPY ASC LLC 1510 1/2 HATCHER LN, SMA Informatics Confidential CITY ATLANTA BELPRE NEWPORT BEACH PITTSFIELD CHICAGO ANNAPOLIS MUSKEGON BIRMINGHAM POWELL SACRAMENTO ATTLEBORO LAUREL ANNANPOLIS BEVERLY HILLS MOSES LAKE PEABODY TEMPE RENO JOHNSTOWN LADY LAKE IDAHO FALLS LA PORTE MONTEREY TAMPA STRATHAM TIMONIUM GRAPEVINE COLUMBUS COLUMBIA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 50 ST ZIP GA OH CA MA IL MD MI AL TN CA MA MD MD CA WA MA AZ NV PA FL ID IN CA FL NH MD TX OH TN 30308 45714 92660 01201 60639 21401 49444 35233 37849 95825 02703 20707 21401 90212 98837 01960 85283 89503 15901 32159 83404 46350 93940 33626 03885 21093 76051 43213 38401 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1295710002 1295710317 1295713568 1295714301 1295714962 1295720530 1295729531 1295738375 1295739134 1295739217 1295748531 1295750594 1295755023 1295759637 1295766202 1295769131 1295772101 1295775369 1295775880 1295776920 1295782316 1295790327 1295790970 1295792505 1295793974 1295798346 1295808475 1295817435 1295819084 PROVIDER NAME ADDRESS SCOTTSDALE EYE SURGERY CENTER, P.C 3320 N MILLER RD, CENTRAL FLORIDA ENDOSCOPY AND SURGICAL INSTITUTE 316 OF SE OCALA, 12TH ST,PLBUILDING 200 HUTCHINSON AMBULATORY SURGERY CENTER, LLC 2205 N WALDRON ST, ENDOSCOPY CENTER OF SOUTHEAST TEXAS LP 950 N 14TH ST, SUITE 200 SCHULZE SURGERY CENTER, INC. 728 E 67TH ST, ELMIRA ASC LLC 210 WILLIAM ST, ORTHOPAEDIC ASSOCIATES OF PORTLAND, PA 33 SEWALL ST, OREGON SURGICENTER LLC 2400 HARTMAN LN, STE 300 MICHAEL J FAZIO, MD, SURGERY CENTER 2805 J ST, STE 100 WATERSIDE AMBULATORY SURGICAL CENTER INC 2001 N FLAGLER DR, THE EMORY CLINIC INC 1365 CLIFTON RD NE, ST. MARY'S MULTI-SPECIALTY SURGERY CENTRE, INC. 22325 GREENVIEW PKWY, MADISON SURGERY CENTER, INC. 1 S PARK ST, 3RD FLOOR MEMORIAL SURGICARE LTD 6138 KENNERLY RD, MCGEE EYE SURGERY CENTER LLC 1000 N LINCOLN BLVD, SUITE 150 90210 SURGERY MEDICAL CENTER, LLC 450 N ROXBURY DR, SUITE 600 CAPE CORAL AMBULATORY SURGERY CENTER, LLC 2721 DEL PRADO BLVD S, SUITE 100 PROLIANCE SURGEONS, INC., P.S. 7320 216TH ST SW, SUITE 140 GREATER CHESAPEAKE SURGERY CENTER LLC 1212 YORK RD, ROSE AMBULATORY SURGICAL CENTER LP 4700 HALE PKWY, SUITE 200 MURPHY WATSON BURR SURGERY CENTER INC 5202 FARAON ST, ENDOSCOPY OF PLANO, LP 1600 COIT RD, SUITE 401A SEQUIM SAME DAY SURGERY INC 777 N 5TH AVE, ALLAN S. WIRTZER 4836 VAN NUYS BLVD, SANTA LUCIA SURGICAL CENTER LLC 2441 SW 37TH AVE, SUNRISE FLAMINGO SURGERY CENTER, LIMITED PARTNERSHIP 2565 E FLAMINGO RD, NEWPORT CENTER FOR SPECIAL SURGERY 1401 AVOCADO AVE, 101 WILLS SURGERY CENTER OF CHERRY HILL 408 MARLTON PIKE E, REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, 2104 HARRISBURG LTD. PIKE STE 300, SMA Informatics Confidential CITY ST ZIP SCOTTSDALE OCALA HUTCHINSON BEAUMONT SAVANNAH ELMIRA PORTLAND SPRINGFIELD SACRAMENTO WEST PALM BEACH ATLANTA GREAT MILLS MADISON JACKSONVILLE OKLAHOMA CITY BEVERLY HILLS CAPE CORAL EDMONDS LUTHERVILLE DENVER SAINT JOSEPH PLANO SEQUIM SHERMAN OAKS MIAMI LAS VEGAS NEWPORT BEACH CHERRY HILL LANCASTER AZ FL KS TX GA NY ME OR CA FL GA MD WI FL OK CA FL WA MD CO MO TX WA CA FL NV CA NJ PA 85251 34471 67502 77702 31405 14901 04102 97477 95816 33407 30322 20634 53715 32216 73104 90210 33904 98026 21093 80220 64506 75075 98382 91403 33145 89121 92660 08034 17601 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 51 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1295820249 1295824100 1295824118 1295827004 1295831188 1295841666 1295847317 1295848752 1295855948 1295860302 1295883973 1295891836 1295897106 1295897585 1295901445 1295906956 1295911154 1295918977 1295923670 1295930402 1295948339 1295966257 1295973006 1295978401 1295988731 1306005343 1306013925 1306017348 1306043617 PROVIDER NAME ADDRESS BILOXI OUTPATIENT SURGERY & ENDOSCOPY CTR 1720 MEDICAL PARK DR # B, BETTER LIVING ENDOSCOPY CENTER 3000 HALLS FERRY RD, ABJ SURGERY CENTER, INC. 104 SAINT MATTHEWS AVE, NORTH MISSISSIPPI SPINE CENTER 109 EUREKA STREET, SUITE B ORTHOPEDIC ASSOCIATES AMBULATORY SURGERY CENTER 3301 NW 50TH ST, NOVAMED SURGERY CENTER OF SANDUSKY LLC 2616 HAYES AVE, DIGESTIVE HEALTH & ENDOSCOPY CENTER LLC 375 N EASTOWN RD, ESSEX SURGICAL ARTS SURGERY CENTER, LLC 727 JORALEMON ST, MAINE EYE CENTER 15 LOWELL ST, GOLD COAST SURGERY CENTER LLC 1750 ENGLEWOOD RD, SUMMIT VENTURES OF SANTA BARBARA LP 231 W PUEBLO ST, CARRILLO SURGERY CENTER 401 E CARRILLO ST, WESTMONT SURGERY CENTER LLC 530 N CASS AVE, FOLSOM SIERRA ENDOSCOPY CENTER 1600 CREEKSIDE DR, SUITE 1600 CROSSROADS SURGERY CENTER, LLC 4150 BARRETT BOULEVARD, ENT CENTER OF RHODE ISLAND LLC 55 LAMBERT LIND HWY, CENTRAL OHIO ENDOSCOPY CENTER, LLC 6670 PERIMETER DR, SUITE 200 WEST COAST CENTER FOR SURGERIES 653 CAMINO DE LOS MARES, SUITE 101 SUMMIT AMBULATORY SURGICAL CENTER, LLC 21 CROSSROADS DR, SUITE 220 ST. PAUL SURGICAL CENTER, LLC 5085 MONROE ST, STE B WILMINGTON GASTROENTEROLOGY ASSOCIATES, PA 5115 OLEANDER DRIVE, FIRST SURGERY SUITES, LLC 1402 MEDICAL DRIVE, ST. MARY'S OUTPATIENT SURGERY CENTER AT GALENA18653 LLC WEDGE PKWY, PASADENA PLASTIC SURGERY CENTER INC 452 NORTH ALTADENA DRIVE, BAPTIST EASTPOINT SURGERY CENTER, LLC 2400 EASTPOINT PKWY, DIGESTIVE HEALTH SPECIALISTS PA 2025 FRONTIS PLAZA BLVD, SUITE 200 PACIFIC CATARACT AND LASER INSTITUTE INC PC 10500 NE 8TH ST, SUITE 1650 PRESBYTERIAN SAMEDAY SURGERY CENTER AT MONROE, 2000 LLC WELLNESS BLVD, SUITE 2100 UROLOGY HEALTH SURGERY CENTER, LLC 1235 OLD YORK RD, SUITE 218 SMA Informatics Confidential CITY BILOXI VICKSBURG SAN MATEO BATESVILLE OKLAHOMA CITY SANDUSKY LIMA BELLEVILLE PORTLAND ENGLEWOOD SANTA BARBARA SANTA BARBARA WESTMONT FOLSOM EPHRATA WARWICK DUBLIN SAN CLEMENTE OWINGS MILLS TOLEDO WILMINGTON SULPHUR SPRINGS RENO PASADENA LOUISVILLE WINSTON SALEM BELLEVUE MONROE ABINGTON SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 52 ST ZIP MS MS CA MS OK OH OH NJ ME FL CA CA IL CA PA RI OH CA MD OH NC TX NV CA KY NC WA NC PA 39532 39180 94401 38606 73112 44870 45807 07109 04102 34223 93105 93101 60559 95630 17522 02886 43016 92673 21117 43623 28403 75482 89511 91107 40223 27103 98004 28110 19001 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1306063177 1306079330 1306084900 1306087135 1306093604 1306802418 1306804612 1306826177 1306829866 1306830500 1306833009 1306843081 1306843222 1306843867 1306851902 1306866173 1306877261 1306881164 1306882956 1306885256 1306891718 1306892609 1306898416 1306905815 1306924170 1306928916 1306938550 1306949862 1306951231 PROVIDER NAME ADDRESS FAMILY FOOTCARE 1123 MERRITT BLVD, WHITEWATER SURGERY CENTER LLC 1900 CHESTER BLVD, SEVEN OAKS SURGERY CENTER, LLC 13627 BIG BEND ROAD, CRANE CREEK SURGICAL PARTNERS, LLLP 2222 SOUTH HARBOR CITY BLVD, SUITE 540 BOX CANYON SURGERY CENTER LLC 2555 BOX CANYON DR, HUGULEY SURGERY CENTER, LLP 12001 SOUTH FREEWAY, SUITE 101 LONE STAR ENDOSCOPY, LLP 180 BEAR CREEK PKWY, NORTHERN WYOMING SURGICAL CENTER 732 LINDSAY LN, SOUTHWEST SURGICAL CENTER LLC 8100 W 78TH ST, STE 220 FOUNDATION SURGERY AFFILIATES OF SEGUIN, LLC 214 MEDICAL DR, SOUTH BROWARD ENDOSCOPY L L C 11011 SHERIDAN ST, SUITE 106 JOEL SCHLESSINGER, M.D. DBA SKIN SPECIALISTS P C 2802 OAK VIEW MALL DR, ST JOSEPHS OUTPATIENT SURGERY CENTER, LLC 240 W THOMAS RD, NOVAMED SURGERY CENTER OF PALM BEACH LLC 2889 10TH AVE N, SUITE 304 SPECIALTY SURGICAL CENTER OF IRVINE LP 15825 LAGUNA CANYON RD, STE. 200 PARK PLACE SURGERY CENTER L L C 2450 MAITLAND CENTER PKWY, SUITE 100 NORTHEAST ALABAMA EYE SURGERY CENTER 314 S 5TH ST, AUBURN SURGICAL CENTER LP 3123 PROFESSIONAL DR, SUITE 100 SAN RAMON SURGERY CENTER, LP 200 PORTER DR, STE. 100 THE EYE SURGICAL CENTER, LLC 800 MCKINLEY AVE NW, MICROSPINE SURGERY CENTER DEFUNIAK SPRINGS LLC101 MICROSPINE WAY, THE CLEARWATER ORTHOPAEDIC ASC LLC 2238 DREW ST, KINGSPORT BRONCHOSCOPY CENTER, INC. 111 W STONE DR, SUITE 100 UAS MANAGEMENT, INC. 1390 E YOSEMITE AVE STE B, DELMAR SURGICAL CENTER LLC 103 CHESAPEAKE BLVD STE C, FREEHOLD SURGICAL CENTER, LLC 500 W MAIN ST, WEST GEORGIA ENDOSCOPY CENTER 160 CLINIC AVE, PHYSICIANS OF MONMOUTH LLC 733 N BEERS ST, STE L4 NORTHERN MAINE AMBULATORY ENDOSCOPY CENTER11 MARTIN ST, SMA Informatics Confidential CITY ST ZIP DUNDALK RICHMOND ST. LOUIS MELBOURNE LAS VEGAS BURLESON KELLER CODY EDINA SEGUIN COOPER CITY OMAHA PHOENIX LAKE WORTH IRVINE MAITLAND GADSDEN AUBURN SAN RAMON CANTON DEFUNIAK SPRINGS CLEARWATER KINGSPORT MERCED ELKTON FREEHOLD CARROLLTON HOLMDEL PRESQUE ISLE MD IN MO FL NV TX TX WY MN TX FL NE AZ FL CA FL AL CA CA OH FL FL TN CA MD NJ GA NJ ME 21222 47374 63122 32901 89128 76028 76248 82414 55439 78155 33026 68144 85013 33461 92618 32751 35901 95603 94583 44703 32435 33765 37660 95340 21921 07728 30117 07733 04769 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 53 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1306952908 1306956818 1306958103 1306960943 1306963020 1306964853 1306973235 1306989249 1306990841 1306993464 1316001738 1316009194 1316025760 1316040405 1316041304 1316043631 1316061765 1316082365 1316091259 1316094824 1316109309 1316133044 1316135114 1316174782 1316189095 1316190077 1316190796 1316191430 1316192826 PROVIDER NAME ADDRESS LAS VENTANAS SURGERY CENTER 1441 CONSTITUTION BLVD, BLDG. 400, SUITE 103 WASHBURN SURGERY CENTER, LLC 619 SW CORPORATE VIEW, NEI AMBULATORY SURGERY CENTER INC PC 204 MIFFLIN AVE, QUANTUM LLC 595 CHAPEL HILLS DR, STE 301 BATTLE CREEK ENDOSCOPY & SURGERY 3770 CAPITAL AVE SW, GASTROENTEROLOGY ENDOSCOPY CENTER 550 PEACHTREE ST NE, SUITE 1750 DIGESTIVE DISEASE & ENDOSCOPY CENTER, PLLC 728 LEBO BLVD, MEDICAL ARTS SURGERY CENTER LLC 3302 NE STALLINGS DR, UROKURE INC 18109 PRINCE PHILIP DR, SUITE #270 PACIFIC HILLS SURGERY CENTER LLC 24022 CALLE DE LA PLATA, #180 RINALDI SURGERY CENTER LLC 14091 RINALDI ST, SUITE 315 ADVOCATE SOUTHWEST AMBULATORY SURGERY CENTER 18200 LLCS. LAGRANGE RD, TRI-STATE SURGICAL CENTER, LLC 1006 TAVERN RD, SURGERY CENTER OF OLYMPIA LLC 410 PROVIDENCE LN NE, VALENCIA SURGERY CENTER INC 150 LAGUNA ROAD, VIA CHRISTI CLINIC, PA 3311 E MURDOCK ST, PUBLIC HOSPITAL DISTRICT #3 SNOHOMISH COUNTY 875 WESLEY ST STE 150, WEST WILSHIRE MEDICAL SURGICAL CENTER 11645 WILSHIRE BLVD, 6TH FLOOR WABASH VALLEY EYE CENTER, LLC 2020 S CLEARVIEW DR, CAPE AND ISLANDS ENDOSCOPY CENTER LLC 700 ATTUCKS LN, UNIT 1B PLASTIC & RECONSTRUCTIVE SURGEONS INC PS 17930 TALBOT RD S, NORTH MEMORIAL AMBULATORY SURGERY CENTER AT9855 MAPLE HOSPITAL GROVE,DR, LLCSTE 175 ISSAQUAH SURGERY CENTER, LLC 6505 226TH PLACE SE, SUITE 102 RIDDLE SURGICAL CENTER LLC 1118 BALTIMORE PIKE, CARILLON SURGERY CENTER LLC 900 CARILLON PKWY, SUITE 205 CERRITOS SURGERY CENTER 16543 CARMENITA AVENUE, SUTTER GOULD MEDICAL FOUNDATION 8011 DON AVE, LAREDO DIGESTIVE HEALTH CENTER LLC 6999 MCPHERSON AVE, STE 219 EL DORADO SURGERY CENTER LLC 4300 GOLDEN CENTER DR, SUITE E SMA Informatics Confidential CITY ST SALINAS CA TOPEKA KS SCRANTON PA COLORADO SPRINGS CO BATTLE CREEK MI ATLANTA GA BREMERTON WA NACOGDOCHES TX OLNEY MD LAGUNA HILLS CA MISSION HILLS CA TINLEY PARK IL MARTINSBURG WV OLYMPIA WA FULLERTON CA WICHITA KS ARLINGTON WA LOS ANGELES CA VINCENNES IN HYANNIS MA RENTON WA MAPLE GROVE MN ISSAQUAH WA MEDIA PA ST PETERSBURG FL CERRITOS CA STOCKTON CA LAREDO TX PLACERVILLE CA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 54 ZIP 93906 66615 18503 80920 49015 30308 98310 75965 20832 92653 91345 60487 25401 98506 92835 67208 98223 90025 47591 02601 98055 55369 98027 19063 33716 90703 95209 78041 95667 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1316253438 1316276512 1316900830 1316902448 1316905680 1316906423 1316909633 1316910086 1316914278 1316919566 1316919574 1316922040 1316924632 1316926405 1316928732 1316939556 1316940539 1316942048 1316946106 1316947278 1316947609 1316949415 1316962244 1316969058 1316973050 1316976137 1316992761 1326001819 1326004110 PROVIDER NAME ADDRESS CITY ST TREASURE COAST UROLOGY CENTER, LLC 1255 37TH ST STE 4, VERO BEACH FL WOMEN'S SURGICAL CENTER 958 JOE FRANK HARRIS PKWY SE BLDG A, SUITE 107CARTERSVILLE GA BAYONET POINT SURGERY CENTER LTD 14104 YOSEMITE DR, HUDSON FL AMBULATORY ENDOSCOPY CLINIC OF DALLAS, LTD. 6390 LBJ FWY, SUITE 200 DALLAS TX OHIO EYE SURGERY CENTER 210 SHARON RD, SUITE B CIRCLEVILLE OH TOBIN EYE INSTITUTE 3902 SHERMAN AVE, SAINT JOSEPH MO PREMIER SURGERY CENTER OF TUCSON 310 N. WILMOT RD., #309 TUCSON AZ GREENVILLE ASC LLC 14 HAWTHORNE PARK CT, GREENVILLE SC HARBOR ENDOSCOPY CENTER INC 4700 POINT FOSDICK DR NW, 308 GIG HARBOR WA COMMONWEALTH UROLOGY PSC 1760 NICHOLASVILLE RD, SUITE 301 LEXINGTON KY CHEVY CHASE ASC LLC 5530 WISCONSIN AVE, SUITE 500 CHEVY CHASE MD HUNTINGTON OUTPATIENT SURGERY CENTER 797 S FAIR OAKS AVE, PASADENA CA CAROLINA BONE & JOINT SURGERY CENTER 101 SURGEONS DR, MYRTLE BEACH SC MIRACLE HILLS SURGERY CENTER LLC 11819 MIRACLE HILLS DR, SUITE 201 OMAHA NE ST. MARY'S AMBULATORY SURGERY CENTER LLC 1515 SAINT MARY ST, KNOXVILLE TN SEQUOIA SURGICAL CENTER LP 2405 SHADELANDS DR, SUITE 200 WALNUT CREEK CA GRAND ISLAND SURGICAL CENTER LLC 3610 RICHMOND CIR, GRAND ISLAND NE ALASKA SPINE INSTITUTE SURGERY CENTER, LLC 3801 UNIVERSITY LAKE DR, STE 100 ANCHORAGE AK CHARLESTON ENDOSCOPY CENTER 1962 CHARLIE HALL BLVD, CHARLESTON SC N W EYE SURGEONS P C 10330 MERIDIAN AVE N, #370 SEATTLE WA AMARILLO ENDOSCOPY CENTER, LP 6833 PLUM CREEK DR, AMARILLO TX NEWPORT BEACH SURGERY CENTER, LLC 361 HOSPITAL ROAD, SUITE 124 NEWPORT BEACH CA BALTIMORE SPINE CENTER, LLC 1300 BELLONA AVE, BUILDING D LUTHERVILLE MD SUBURBAN ENDOSCOPY CENTER, LLC 10215 FERNWOOD ROAD, SUITE 260 BETHESDA MD FLORIDA SURGERY CENTER ENTERPRISES LLC 5013 N ARMENIA AVE, TAMPA FL CENTRAL MARYLAND ENDOSCOPY LLC 8186 LARK BROWN RD, SUITE 104 ELKRIDGE MD ATLANTIC COASTAL SURGERY CENTER LLC 301 CENTRAL AVE, SUITE A EGG HARBOR TOWNSHIP NJ CENTER FOR DIGESTIVE DISEASES AND CARY ENDOSCOPY 1120 CENTER, SE CARY PCPKWY, SUITE 204 CARY NC GROSSMONT SURGERY CENTER LP 8881 FLETCHER PKWY, SUITE 100 LA MESA CA SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 55 ZIP 32960 30120 34667 75240 43113 64506 85711 29615 98335 40503 20815 91105 29579 68154 37917 94598 68803 99508 29414 98133 79124 92663 21093 20817 33603 21075 08234 27518 91942 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1326038100 1326040668 1326042300 1326045014 1326046822 1326047101 1326047937 1326048091 1326050204 1326054172 1326075250 1326088832 1326089715 1326091513 1326093717 1326094491 1326097536 1326097981 1326107509 1326114364 1326114869 1326119157 1326132291 1326136177 1326142878 1326144221 1326170036 1326176215 1326179532 PROVIDER NAME ADDRESS FOUNDATION SURGERY AFFILIATE OF THE MEDCENTER2459 LLC S BRAESWOOD BLVD, READING ENDOSCOPY CENTER, LLC 1 GRANITE POINT DRIVE, SUITE 370 LEWISVILLE SURGICARE PARTNERS, LTD 1854 LAKEPOINTE DRIVE, GROVE PLACE SURGERY CENTER ,LLC 1325 36TH ST, SOUTH EMERSON SURGERY CENTER, LLC 8141 S EMERSON AVE, SUITE C ST. 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PARK ST., MADISON STREET SURGERY CTR 55 MADISON ST, #200 TEANECK GASTROENTEROLOGY&ENDOSCOPY CENTER 1086 TEANECK RD, SUITE 3B LEBANON ENDOSCOPY CENTER LLC 100 PHYSICIANS WAY, SUITE 340 FM ENDOSCOPY CENTER LLC 300 MAIN AVE STE 205, UPDEGRAFF VISION LASER AND SURGERY CENTER, LLC 1601 38TH AVE N, NASHVILLE GASTROINTESTINAL SPECIALISTS, INC. 4230 HARDING ROAD, SUITE 309W FACULTY PRACTICE FOUNDATION , EVANS MEDICAL FOUNDATION 930 COMMONWEALTH AVE, SMA Informatics Confidential CITY HOUSTON WYOMISSING LEWISVILLE VERO BEACH INDIANAPOLIS PORT CHARLOTTE CAMP HILL PADUCAH LEWISTON KNOXVILLE BETHESDA WEATHERFORD PRESCOTT SAGINAW CONCORD SEATTLE HARRISBURG FREDERICKSBURG OMAHA LAFAYETTE EL PASO MADISON DENVER TEANECK LEBANON FARGO ST PETERSBURG NASHVILLE BOSTON SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 56 ST ZIP TX PA TX FL IN FL PA KY ID TN MD TX AZ MI CA WA PA VA NE LA TX WI CO NJ TN ND FL TN MA 77030 19610 75057 32960 46237 33952 17011 42003 83501 37922 20817 76086 86301 48603 94520 98104 17111 22401 68114 70503 79902 53715 80206 07666 37090 58103 33713 37205 02215 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1326181314 1326182411 1326189499 1326191958 1326198102 1326201476 1326202086 1326202342 1326215468 1326223298 1326228370 1326234592 1326247479 1326256058 1326259276 1326272774 1326286360 1326298423 1336100189 1336103001 1336104926 1336106574 1336107036 1336107580 1336112200 1336118140 1336123264 1336131143 1336138635 PROVIDER NAME ADDRESS ALAMARCON HOLDINGS LLC DBA TALLAHASSEE PLASTIC 2452 SURGERY MAHAN CENTER DR, SUITE 102 ENCINO DERMASURGERY CENTER, INC. 5400 BALBOA BLVD, SUITE 220 KUNESH EYE SURGERY CENTER 2601 FAR HILLS AVE, T SURGERY CENTER, INC 3525 LOMA VISTA RD, SUITE B LAKES REGION UROLOGY, PA 85 SPRING ST, BAYLOR COLLEGE OF MEDICINE AMBULATORY SURGERY 1977 CENTER BUTLER BLVD, LAKEFOREST AMBULATORY SURGERY CENTER 6400 MARLBORO PIKE, LAREDO LASER & SURGERY , LTD. 5313 MCPHERSON RD, ST CLAIR SHORES MI OPHTHALMOLOGY ASC LLC 21711 GREATER MACK AVE, ORANGEWOOD SURGICAL CENTER LLC 2143 W ORANGEWOOD AVE, ADVANCED AMBULATORY SURGERY CENTER, LLC 2594 E JOYCE BLVD, SUITE 1 HANCOCK REGIONAL SURGERY CENTER, LLC ONE MEMORIAL SQUARE, SUITE 1000 CHEYENNE OCULAR SURGERY, LLC 1300 E 20TH ST, MONTEREY PENNISULA SURGERY CENTER LLC 2 UPPER RAGSDALE DR, BUILDING B, SUITE B160 PETALUMA SURGICENTER 1400 PROFESSIONAL DR, SUITE 102 PREMIER ORTHOPAEDIC ASSOCIATES SURGICAL CENTER, 352LLC S DELSEA DRIVE, NORTH CAMPUS SURGERY CENTER LLC 8040 CLEARVISTA PKWY, SUITE 150 GREATER ERIE SURGERY CENTER, LLC 2374 VILLAGE COMMON DR, SUITE 200 ST MICHAELS SURGERY CENTER 1018 W BAY DR, PERKINS PLAZA AMBULATORY SURGERY CENTER LLC 7145 PERKINS RD, ATLANTA SURGERY CENTER LTD 5730 GLENRIDGE DR NE, SUITE 400 DEMIAN G MOUSAD M.D. 3 WOODLAND RD, SUITE #322 RUMMEL EYE CARE, P.C. 1022 WILLOW CREEK RD, POMERADO OUTPATIENT SURGICAL CENTER LP 17190 BERNARDO CENTER DR, SUITE 100 MERCER COUNTY SURGERY CENTER LLC 3120 PRINCETON PIKE, 2ND FLOOR, SUITE B TOBIN EYE CLINIC, INC 4151 E ST, COBB FOOT & LEG SURGICAL CENTER, LLC 792 CHURCH ST, STE 102 PHOENIX ORTHOPEDIC AMBULATORY CENTER, LLC 690 N COFCO CENTER CT, SUITE 150 EYE SURGICAL SPECIALISTS OF NEW JERSEY 107 N CENTER DR, SMA Informatics Confidential CITY ST TALLAHASSEE FL ENCINO CA DAYTON OH VENTURA CA LACONIA NH HOUSTON TX DISTRICT HEIGHTS MD LAREDO TX SAINT CLAIR SHORES MI ORANGE CA FAYETTEVILLE AR GREENFIELD IN CHEYENNE WY MONTEREY CA PETALUMA CA VINELAND NJ INDIANAPOLIS IN ERIE PA LARGO FL BATON ROUGE LA ATLANTA GA STONEHAM MA PRESCOTT AZ SAN DIEGO CA LAWRENCEVILLE NJ OMAHA NE MARIETTA GA PHOENIX AZ NORTH BRUNSWICK NJ SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 57 ZIP 32308 91436 45419 93003 03246 77030 20747 78041 48080 92868 72703 46140 82001 93940 94954 08360 46256 16506 33770 70808 30328 02180 86301 92128 08648 68107 30060 85008 08902 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1336142413 1336142884 1336143148 1336143171 1336143718 1336143734 1336144617 1336148360 1336154152 1336159284 1336165091 1336170596 1336179233 1336180173 1336181742 1336184027 1336184993 1336185230 1336202704 1336204668 1336209451 1336213099 1336215847 1336218825 1336223585 1336231059 1336236710 1336240670 1336246099 PROVIDER NAME ADDRESS CITY TEXAN AMBULATORY SURGERY CENTER, LP 7000 NORTH MOPAC EXPRESSWAY, SUITE 120 AUSTIN THE SURGICAL SUITES LLC 1100 WARD AVE, STE 1001 HONOLULU MARIN OPHTHALMIC SURGERY CENTER 901 E ST SUITE 270, SAN RAFAEL THE SURGERY CENTER OF GEORGIA, LLC 220 HOSPITAL RD, CANTON VALLEY VIEW SURGICAL CENTER 875 NORMAN DR, LEBANON TORRANCE ENDOSCOPY AND SURGICAL AFF. 23441 MADISON ST, STE 230 TORRANCE SWEETWATER SURGERY CENTER LLC 2761 COMMERCIAL WAY, ROCK SPRINGS BOULDER COMMUNITY MUSCULOSKELETAL SURGERY CENTER, 1136 ALPINE LLC AVE, SUITE #115 BOULDER A CENTER FOR FOOT AND ANKLE SURGERY PA 104 LINCOLN AVE, HAWTHORNE HOWARD COUNTY GASTROINTESTINAL DIAGNOSTIC CTR, 10710 LLC CHARTER DR, SUITE 120 COLUMBIA HILLMOOR EYE SURGERY CENTER, INC. 1715 SE TIFFANY AVE, PORT ST LUCIE THE UROLOGIC SURGICAL CENTER LLC 2110 HARRISBURG PIKE, STE 1 LANCASTER EYE SURGERY CENTER NORTHWEST 842 S COWLEY ST, SUITE 3 SPOKANE BELTWAY SURGERY CENTERS LLC 151 PENNSYLVANIA PARKWAY, INDIANAPOLIS PROMENADES SURGERY CENTER 3222 TAMIAMI TRL, PORT CHARLOTTE EYE SURGICENTER LLC 2521 NW 41ST ST, GAINESVILLE EYE SURGERY CENTER OF WICHITA, LLC 6100 E CENTRAL AVE, SUITE 6 WICHITA Q CORP SURGERY CENTER, INC. 142 JOHN ROBERT THOMAS DR, THE COMMONS ATEXTON LINCOLN CENTER SHERIDAN SURGICAL CENTER, LLC 1524 W 5TH ST, SHERIDAN PHYSICIANS SURGICENTER LLC 1 PLAZA DR, UNIT 2 TOMS RIVER SADDLE RIVER VALLEY SURGICAL CENTER, LLC 1 W RIDGEWOOD AVE, G3 PARAMUS SAN GABRIEL AMBULATORY SURGERY CENTER 207 S SANTA ANITA AVE STE G16, SAN GABRIEL BRAND SURGICAL INSTITUTE INC 1141 N BRAND BLVD STE 200, GLENDALE CENTRAL OHIO ENDOSCOPY CENTER, LLC 85 MCNAUGHTEN RD, STE 320 COLUMBUS PETER T. TRUONG, M.D., SURGICAL CENTER, INC. 9497 N FORT WASHINGTON, 103 FRESNO CENTINELA VALLEY ENDOSCOPY CENTER 501 E HARDY ST, SUITE 101 INGLEWOOD THE EYE SURGERY AND LASER CENTER 501 MARSHALL ST, SUITE 604 JACKSON SOUTHERN IDAHO PAIN INSTITUTE P.C. 236 MARTIN ST., TWIN FALLS PLATINUM SURGERY CENTER 2220 PEASE ST, HARLINGEN SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 58 ST ZIP TX HI CA GA PA CA WY CO NJ MD FL PA WA IN FL FL KS PA WY NJ NJ CA CA OH CA CA MS ID TX 78731 96814 94901 30114 17042 90505 82901 80304 07506 21044 34952 17601 99202 46280 33952 32606 67208 19341 82801 08757 07652 91776 91202 43213 93730 90301 39202 83301 78550 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1336247642 1336252402 1336254770 1336255827 1336258128 1336264985 1336265263 1336266378 1336267442 1336268754 1336272657 1336288224 1336288703 1336294859 1336310986 1336323047 1336324045 1336333640 1336364231 1336365873 1336371020 1336375930 1336391085 1336393263 1346203528 1346203841 1346205176 1346205481 1346206992 PROVIDER NAME ADDRESS PASADENA ENDOSCOPY CENTER INC 55 W VALLEY ST, ADVANCED ENDOSCOPY CENTER LLC 5500 BROADWAY, SUITE A EYE SURGERY CENTER OF THE DESERT 39700 BOB HOPE DR STE 109, ROCKVILLE EYE SURGERY CENTER 4818 DEL RAY AVE, FIRST FLOOR NEW YORK GI CENTER, LLC 1200 WATERS PL, SUITE M117 MAX WEISFELD, DPM, PA 5508 HARFORD RD, GROUP HEALTH COOPERATIVE 209 MARTIN LUTHER KING JR WAY, LA QUINTA SURGERY CENTER 78441 HIGHWAY 111, FIRST STREET SURGICAL CENTER 411 N 1ST ST, MOUNTAIN VISTA ORTHOPEDIC SURGERY CENTER, LLC5890 W 13TH ST, SUITE 102 ARIZONA DIGESTIVE CENTER, P.C. 8761 E BELL RD, STE 101 EYE SURGERY CENTER OF WHITE MARSH, LLC 9512 HARFORD RD, SUITE 5 VIRGINIA MASON MEDICAL CENTER 100 NE GILMAN BLVD, LOS ROBLES SURGICENTER 2190 LYNN RD, SUITE 100 LAPLATA AMBULATORY UROLOGICAL CENTER, L.L.C. 101 CENTENNIAL ST, SUITE E NORTHWEST RADIOLOGISTS INC., P.S. 4029 NORTHWEST AVE, SUITE 301A MCCANDLESS ENDOSCOPY CENTER, LLC 9335 MCKNIGHT RD, SUITE 200 NEW ENGLAND PAIN ASSOCIATES, PC 123 SUMMER ST, SUITE 520 SURGERY CENTER AT LIBERTY HOSPITAL, L.L.C. 2529 GLENN HENDREN DR STE 100, UNIVERSITY UROLOGICAL ASSOCIATES, INC. 195 COLLYER ST, SUITE 201 WISCONSIN HEALTH CENTER LLC 813 W. MORELAND BOULAVARD, JACKSON SURGERY CENTER 1725 PARK PL, MEMORIAL HERMANN SURGERY CENTER KINGSLAND, L.L.C. 21720 KINGSLAND BLVD, SUITE 101 UNMC PHYSICIANS 988102 NEBRASKA MEDICAL CTR, HEALTHTEXAS PROVIDER NETWORK 4708 ALLIANCE BLVD, NORTH SUBURBAN SURGERY CENTER LP 9195 GRANT ST, SUITE 200 CORAL DESERT SURGERY CENTER 1490 E FOREMASTER DR, BUILDING C BLOOMINGTON EYE INSTITUTE LLC 1008 NORTH CENTER ST, WACO SURGICAL CENTER LTD 7003 WOODWAY DR, STE 307 SMA Informatics Confidential CITY PASADENA BRONX RANCHO MIRAGE BETHESDA BRONX BALTIMORE TACOMA LA QUINTA BELLAIRE GREELEY SCOTTSDALE BALTIMORE ISSAQUAH THOUSAND OAKS LA PLATA BELLINGHAM PITTSBURGH WORCESTER LIBERTY PROVIDENCE WAUKESHA MONTGOMERY KATY OMAHA PLANO THORNTON ST GEORGE BLOOMINGTON WACO SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 59 ST ZIP CA NY CA MD NY MD WA CA TX CO AZ MD WA CA MD WA PA MA MO RI WI AL TX NE TX CO UT IL TX 91105 10463 92270 20814 10461 21214 98405 92253 77401 80634 85260 21234 98027 91360 20646 98226 15237 01608 64068 02904 53188 36106 77450 68198 75093 80229 84790 61701 76712 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1346207834 1346207875 1346208642 1346210259 1346213634 1346214947 1346215316 1346219813 1346220183 1346220373 1346224490 1346233905 1346235058 1346237237 1346237328 1346240751 1346241775 1346243680 1346244845 1346246840 1346248440 1346249604 1346252210 1346265287 1346266087 1346270329 1346270428 1346270543 1346287414 PROVIDER NAME ADDRESS SARASOTA ENDOSCOPY CENTER LP 1435 S OSPREY AVE, SUITE 100 GREENSBORO SPECIALTY SURGERY CENTER LIMITED PARTNERSHIP 3812 N ELM ST, BRAWLEY ENDOSCOPY & SURGERY CENTER 1550 N IMPERIAL AVE, SUITE 3 SURGICARE LLC 2907 MCINTYRE DR, SARASOTA ENDOSCOPY ASC LLC 2800 BAHIA VISTA ST, SUITE 300 FOOT AND ANKLE SURGICAL CENTER LLC 1224 S QUEEN ST, CHESAPEAKE EYE SURGERY CENTER, LLC 2002 MEDICAL PARKWAY, SUITE 330 RIDGEWOOD AMBULATORY SURGERY CENTER 1200 E RIDGEWOOD AVE, BLACK HILLS REGIONAL EYE SURGERY CENTER, LLC 2800 3RD ST, HIGH POINT SURGERY CENTER 600 LINDSAY ST, NEVYAS EYE ASSOCIATES, PC 333 E CITY AVE, 2 BALA PLAZA AMBULATORY SURGERY CENTER AT INDIANA EYE CLINIC 30 N EMERSON AVE, EAST MEQUON SURGERY CENTER LLC 12203 CORPORATE PKWY, LUFKIN ENDOSCOPY CENTER LTD 317 GASLIGHT BLVD, VICTORIA AMBULATORY SURGERY CENTER 6370 N NAVARRO ST, ROSWELL CENTER FOR FOOT & ANKLE SURGERY, LLC 1360 UPPER HEMBREE RD, SUITE 200 OAKLAND SURGI-CENTER INC 2820 CROOKS RD, SUITE 200 LAWRENCE SURGERY CENTER LLC 1112 W 6TH ST, STE 220 LAKELAND SURGICAL & DIAGNOSTIC CENTER LLP 1315 N FLORIDA AVE, WEST HOUSTON AMBULATORY SURGICAL ASSOCIATES,970 LP CAMPBELL ROAD, DALLAS SURGICAL PARTNERS, LLC 3930 CRUTCHER ST, ST. MARY'S SURGICAL CENTER, LLC 203 NW R D MIZE RD, SUITE 218 PHYSICIANS SURGERY CENTER AT DEPAUL LLC 12266 DEPAUL DRIVE, SUITE 10 CCHC ENDOSCOPY CENTER INC 975 NEWMAN RD, FSLJC, LLC. 113 N MEMORIAL HWY, MARY IMMACULATE AMBULATORY SURGICAL CENTER12720 MCMANUS BLVD STE 103, BALTIMORE AMBULATORY CENTER 19 FONTANA LN, SUITE 104 CONTINENTAL WOUND CENTER, L.L.C. 310 S SILVER SPRINGS RD, OPTIMA OPHTHALMIC MED ASSOC INC 1237 B STREET, SMA Informatics Confidential CITY SARASOTA GREENSBORO EL CENTRO BLOOMINGTON SARASOTA YORK ANNAPOLIS RIDGEWOOD RAPID CITY HIGH POINT BALA CYNWYD GREENWOOD MEQUON LUFKIN VICTORIA ROSWELL ROCHESTER HILLS LAWRENCE LAKELAND HOUSTON DALLAS BLUE SPRINGS BRIDGETON NEW BERN SHAVERTOWN NEWPORT NEWS BALTIMORE CAPE GIRARDEAU HAYWARD SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 60 ST ZIP FL NC CA IN FL PA MD NJ SD NC PA IN WI TX TX GA MI KS FL TX TX MO MO NC PA VA MD MO CA 34239 27455 92243 47403 34239 17403 21401 07450 57701 27262 19004 46143 53092 75904 77904 30076 48309 66044 33805 77024 75246 64014 63044 28562 18708 23602 21237 63703 94541 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1346288032 1346289428 1346292372 1346303039 1346308517 1346308863 1346308954 1346308962 1346317039 1346322187 1346331329 1346341518 1346347549 1346349164 1346372240 1346373271 1346383155 1346386604 1346396082 1346403854 1346416690 1346420882 1346425733 1346427325 1346468253 1346469731 1346480365 1346497989 1356305916 PROVIDER NAME ADDRESS CITY ST ENDOSCOPY CENTER AT RIDGE PLAZA LP 1200 E SAVANNAH AVE, SUITE 15 MCALLEN TX PROLIANCE SURGEONS, INC., P.S. 2409 N 45TH ST, SEATTLE WA SURGERY CENTER PARTNERS. LLC 14825 N OUTER 40, STE 100 CHESTERFIELD MO CONCORD ENDOSCOPY CENTER LLC 60 COMMERCIAL ST STE 201, CONCORD NH CABARRUS GASTROENTEROLOGY ASSOCIATES 1070 VINEHAVEN DR, CONCORD NC MEDICAL CENTER A.S.C. 701 NE 10TH ST, SUITE 124 OKLAHOMA CITY OK DAY SURGERY OF GRAND JUNCTION INC 1000 WELLINGTON AVE, GRAND JUNCTION CO PODIATRY ASSOCIATES ASC LLC 6569 N CHARLES ST, SUITE 702 BALTIMORE MD UNIVERSITY OF MIAMI 7103 FAIRWAY DR, PALM BEACH GARDENS FL XRS LLC 2400 NORTH PARK, SUITE 20 COLUMBUS IN PHYSICIANS EYE SURGERY CENTER LLC 2060 CHARLIE HALL BLVD, SUITE 301 CHARLESTON SC DESERT ORTHOPEDIC SURGERY CENTER 39000 BOB HOPE DR, HARRY & DIANE RINKER BUILDING, RANCHO 1STMIRAGE FLOOR CA PREMIER SURGICAL CENTER LLC 10000 LINCOLN DRIVE EAST, 1 GREENTREE CENTERMARLTON STE 301 NJ SOUTHERN ALABAMA SURGERY CENTER 2800 ROSS CLARK CIR, SUITE 3 DOTHAN AL UNITED MEDICAL CENTER, LLC 9120 W CAPITOL DR, MILWAUKEE WI ADVANCED DERMATOLOGY SURGERY CENTER, INC 6769 N FRESNO ST, FRESNO CA BRIARCLIFF AMBULATORY SURGERY CENTER, LP 4150 NORTH MULBERRY DRIVE, SUITE 100 KANSAS CITY MO DIGESTIVE HEALTH CENTER LLC 570 WHITE POND DR, SUITE 150 AKRON OH PARKWAY SURGERY CENTER 2940 SQUALICUM PKWY, SUITE 204 BELLINGHAM WA THE EMORY CLINIC INC 59 EXECUTIVE PARK S, ATLANTA GA GARDEN STATE AMBULATORY SURGERY CENTER 1 PLAZA DRIVE, TOMS RIVER NJ MCKAY DEE SURGICAL CENTER LLC 3903 HARRISON BLVD, SUITE 100 OGDEN UT NORTH BAY REGIONAL SURGERY CENTER, LLC 100 ROWLAND WAY, SUITE 145 NOVATO CA NEW ENGLAND PAIN ASSOCIATES 25 JOHN CUMMINGS WAY, 2ND FLOOR WOONSOCKET RI FAIRVIEW MAPLE GROVE SURGERY CENTER, LLC 14500 99TH AVENUE NORTH, MAPLE GROVE MN AKDHC SURGERY CENTER, LLC 3320 N 2ND ST, PHOENIX AZ HAMMOND COMMUNITY AMBULATORY CARE CENTER2143 L.L.C.CALUMET AVE, WHITING IN GRANT SCOPE CENTER, LLC 700 E BROAD ST, 1ST FLOOR COLUMBUS OH THE ROME ENDOSCOPY CENTER 11 JOHN MADDOX DR NW, ROME GA SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 61 ZIP 78503 98103 63017 03301 28025 73104 81501 21204 33418 47203 29414 92270 08053 36301 53222 93710 64116 44320 98225 30329 08757 84403 94945 02895 55369 85012 46394 43215 30165 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1356307565 1356311419 1356314249 1356321293 1356331953 1356334759 1356344410 1356359632 1356362552 1356369755 1356383640 1356393490 1356395586 1356396857 1356400782 1356407332 1356411144 1356412894 1356413678 1356415996 1356420558 1356421853 1356429765 1356444863 1356463913 1356466932 1356480099 1356488837 1356490817 PROVIDER NAME ADDRESS AMBULATORY SURGICAL ASSOCIATES LLC 725 KINGS LN, RIVERSIDE AMBULATORY SURGERY CENTER LLC 560 RIVERSIDE DRIVE, #A-101 COLUMBIA ASC LLC 2739 LAUREL ST, SUITE 1B THE SURGERY CENTER, L.L.C. 1440 HIGHWAY DR, CENTER FOR ORAL & MAXILLOFACIAL SURGERY, LLC 1212 YORK RD, SUITE A201 NORTH SHORE ENDOSCOPY CENTER, LLC 1307 FEDERAL ST, SUITE 101 SURGERY CENTER OF HAMMOND, LLC 42144 VETERANS AVE, ENDOSCOPY CENTER OF N. 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GEORGE SURGICAL CENTER, L.P. 676 S BLUFF ST, MODESTO SURGERY CENTER INC 400 E ORANGEBURG AVE STE 1, SOUND EYE AND LASER P.S. 1229 MADISON ST, STE 1250 MEMORIALCARE SURGICAL CENTER AT SADDLEBACK, L.L.C. 24411 HEALTH CENTER DR, SUITE 104 RIDGEWOOD SURGERY AND ENDOSCOPY CENTER LLC 4013 NORTH RIDGE ROAD, CHRISTUS CABRINI SURGERY CENTER, LLC 3436 MASONIC DRIVE, SMA Informatics Confidential CITY TULLAHOMA SALISBURY COLUMBIA OXFORD LUTHERVILLE PITTSBURGH HAMMOND OXFORD APPLE VALLEY MADISON SAFFORD DALLAS SALT LAKE CITY KINGSPORT CHAMPAIGN BURBANK STATE COLLEGE ROCKFORD LAGUNA BEACH SAINT LOUIS SLIDELL PINEHURST ATLANTA ST GEORGE MODESTO SEATTLE LAGUNA HILLS WICHITA ALEXANDRIA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 62 ST ZIP TN MD SC AL MD PA LA MS CA AL AZ TX UT TN IL CA PA IL CA MO LA NC GA UT CA WA CA KS LA 37388 21801 29204 36203 21093 15212 70403 38655 92307 35758 85546 75237 84124 37660 61821 91505 16803 61107 92651 63122 70461 28374 30342 84770 95350 98104 92653 67205 71301 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1356493787 1356497747 1356520548 1356542419 1356542450 1356543961 1356568919 1356572465 1356575377 1356663454 1356665681 1366406233 1366408270 1366411829 1366412397 1366412710 1366414633 1366416125 1366422370 1366422479 1366441024 1366444929 1366446189 1366449571 1366449910 1366451106 1366453730 1366456618 1366466781 PROVIDER NAME ADDRESS GRAND JUNCTION ENDOSCOPY CENTER 1035 WELLINGTON AVE, ASSOCIATES SURGERY CENTER, INC. 864 1ST ST, CENTRAL WASHINGTON PODIATRY SERVICE PLLC 307 S 12TH AVE, SUITE #9 WINDHAVEN SURGERY CENTER, LLC 6160 WINDHAVEN PKWY, STE 220 NEW RIVER SURGICAL ARTS LLC 1120 NEW RIVER PARKWAY, SUITE 100 RELIANT SURGICAL CENTER,LLC 300B PRINCETON HIGHTSTOWN RD, STE 101 VALLEY MULTI SPECIALTY SURGERY CENTER 7012 RESEDA BOULEVARD, SUITE D ORCHARD CREEK SURGERY CENTER 2420 SAMARITAN DR, GEORGIA EYE INSTITUTE SURGERY CENTER LLC 4720 WATERS AVE, WHITTIER SURGICAL PARTNERS LLC 8135 S. PAINTER AVE, STE 103 ATHENS GASTROENTEROLOGY ENDOSCOPY CENTER 3320 OLD JEFFERSON RD, BUILDING 400 MIDDLE TENNESSEE AMBULATORY SURGERY CENTER, L.P. 1800 MEDICAL CENTER PARKWAY, SUITE 120 KERLAN-JOBE SURGERY CENTER LLC 6801 PARK TER, SUITE 300 SUMMIT SURGERY CENTER LP 757 NORLAND AVE, SUITE 100 GEM CITY BONE & JOINT PC 1909 VISTA DR, MEREDYTH SURGERY CENTER, PC 2709 MEREDYTH DR, SUITE 210 MIDATLANTIC EYE CENTER INC 70 E FRONT ST, TEXAS ORTHOPEDICS SURGERY CENTER 4700 SETON CENTER PKWY, SUITE 100 URLOGY AMBULATORY SURGERY CENTER LLC 1325 WOLF PARK DRIVE, THE VALLEY ENDOSCOPY CENTER LP 18425 BURBANK BLVD, SUITE 525 WESTPARKWAY AMBULATORY SURGERY CENTER 97 W PARKWAY, EAST WEST SURGERY CENTER, LP 2041 MESA VALLEY WAY, SUITE 125 PARKWAY SURGERY CENTER, LLC. 100 N GREEN VALLEY PKWY, STE 125 SHORE OUTPATIENT SURGICENTER LLC 360 ROUTE 70, OREGON ENDOSCOPY CENTER, LLC 3355 RIVERBEND DR, SUITE 510 ALLEGHENY SURGERY CENTER LLC 1402 9TH AVE, WESTERN AVENUE DAY SURGERY CENTER 244 WESTERN AVE, SKYWAY SURGERY CENTER. LLC 121 RALEY BLVD, UAB MEDICAL WEST ASC LLC 995 9TH AVE SW, SMA Informatics Confidential CITY GRAND JUNCTION MACON YAKIMA PLANO FALLON EAST WINDSOR RESEDA SAN JOSE SAVANNAH WHITTIER ATHENS MURFREESBORO LOS ANGELES CHAMBERSBURG LARAMIE ALBANY RED BANK AUSTIN GERMANTOWN TARZANA POMPTON PLAINS AUSTELL HENDERSON LAKEWOOD SPRINGFIELD ALTOONA SOUTH PORTLAND CHICO BESSEMER SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 63 ST ZIP CO GA WA TX NV NJ CA CA GA CA GA TN CA PA WY GA NJ TX TN CA NJ GA NV NJ OR PA ME CA AL 81501 31201 98902 75093 89406 08520 91335 95124 31404 90602 30607 37129 90045 17201 82070 31707 07701 78759 38138 91356 07444 30106 89074 08701 97477 16602 04106 95928 35022 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1366484404 1366485096 1366485385 1366487241 1366496143 1366498115 1366498347 1366499923 1366511057 1366515306 1366515504 1366521643 1366524126 1366529638 1366536880 1366549511 1366550170 1366557423 1366559122 1366574410 1366620114 1366620726 1366633257 1366634669 1366635609 1366640575 1366643751 1366647968 1366651242 PROVIDER NAME ADDRESS MID DAKOTA CLINIC, PC 401 N 9TH ST, ENDOSCOPIC ASSOCIATES, INC. 1235 OLD YORK RD, SUITE # G23 WEBSTER SURGERY CENTER, LP 3300 WEBSTER STREET, SUITE 1010 SHEBOYGAN MEDICAL CENTER, LLC 2124 KOHLER MEMORIAL DR, STE 100 VIRGINIA SURGERY CENTER, LLC 241 CORPORATE BLVD, VALLEY PAIN CENTER, L.L.C. 1800 BYBERRY RD, SUITE 1101 MINIMALLY INVASIVE SURGERY CENTER, P.A. 1801 NEW RD, TAMPA BAY CENTER FOR SPECIALIZED SURGERY 2808 W DR MARTIN LUTHER KING JR BLVD, WHITE FLINT SURGERY LLC 15001 SHADY GROVE ROAD SUITE 120, PACIFIC ENDOSCOPY SERVICES 3351 EL CAMINO REAL STE 220, RIVERSIDE AMBULATORY SURGERY CENTER, LP 6829 PARKER ROAD, MEDICAL AMBULATORY SURGICAL SUITES LLP 9300 KIRBY DR, SUITE 100 TALLAHASSEE ORTHPAEDIC SURGERY PARTNERS LTD 2535 CAPITAL MEDICAL BLVD, SUITE 300 NGC ENDOSCOPY SERVICES LLC 1130 NW 22ND AVE STE 410, SOUTHWEST WASHINGTON REGIONAL SURGERY CENTER, 200LLC NE MOTHER JOSEPH PLACE, SUITE 200 SWFI INSTITUTE OF PLASTIC SURGERY INC 3700 CENTRAL AVE, # 2 THE SURGICARE CENTER OF UTAH 755 E 3900 S, PALISADE SURGERY CENTER LLC 1567 PALISADE AVE, 1ST FLOOR HARVARD PARK SURGERY CENTER, LLC 1000 E. HARVARD AVE, NEW MILLINIUM SURGERY CENTER LLC 29201 TELEGRAPH RD, 3RD FLOORD ISLAND SURGERY CENTER, INC. 1015 ARTHUR J MOORE DR, COASTAL EYE SURGERY CENTER, LLC 128 BUCKSPORT RD, SUITE A JAESOO PAK, MD 11845 SOUTH ST, GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER 1815 MISSION 66, APPLE SURGERY CENTER, INC 9870 BRIMHALL RD UNIT 200, GREATER ROCHESTER DIGESTIVE & LIVER DISEASES CENTER 222 ALEXANDER ST, SUITE 3100 SPECIALTY SURGICAL CENTER OF THOUSAND OAKS, L.P.8670 WILSHIRE BLVD, SUITE 301 NORTH POINTE SURGERY CENTER, LP 170 NORTH POINTE BLVD, MIAMI VALLEY AMBULATORY SURGERY CENTER 1010 WOODMAN DR, SMA Informatics Confidential CITY ST BISMARCK ND ABINGTON PA OAKLAND CA SHEBOYGAN WI NORFOLK VA HUNTINGDON VALLEYPA LINWOOD NJ TAMPA FL ROCKVILLE MD ATHERTON CA FLORISSANT MO HOUSTON TX TALLAHASSEE FL PORTLAND OR VANCOUVER WA FT MYERS FL SALT LAKE CITY UT FORT LEE NJ DENVER CO SOUTHFIELD MI ST SIMONS ISLAND GA ELLSWORTH ME CERRITOS CA VICKSBURG MS BAKERSFIELD CA ROCHESTER NY BEVERLY HILLS CA LANCASTER PA DAYTON OH SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 64 ZIP 58501 19001 94609 53081 23502 19006 08221 33607 20850 94027 63033 77054 32308 97210 98664 33901 84107 07024 80210 48034 31522 04605 90703 39180 93312 14607 90211 17604 45432 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1366684326 1366776106 1376501064 1376507194 1376507780 1376511857 1376513440 1376514703 1376518357 1376536417 1376536482 1376538876 1376540096 1376542076 1376546721 1376553925 1376556514 1376558965 1376574814 1376575860 1376576025 1376578393 1376580498 1376591156 1376592014 1376592204 1376595421 1376599381 1376605279 PROVIDER NAME ADDRESS PRINCE FREDERICK SURGERY CENTER LLC 70 SHERRY LANE, SUITE 101 MEMORIAL HERMANN SURGERY CENTER RICHMOND, LLC 1517 THOMPSON RD, SOUTH CENTRAL SURGICAL CENTER, LLC 717 S STATE ST, SUITE 1000 COLUMBIA EYE AND SPECIALTY SURGERY CENTER LTD 4302 N GOMEZ AVE, MIDVALLEY AMBULATORY SURGERY CENTER 1450 E VALLEY RD, SUITE 202 EASTERN PENNSYLVANIA ENDOSCOPY CENTER, INC. 1501 N CEDAR CREST BLVD, SUITE 100 FLORIDA EYE CLINIC AMBULATORY SURGERY CENTER, INC. 160 BOSTON AVENUE, SURGERY CENTER OF CLARKSVILLE LP 121 HILLCREST DR, ORLANDO FL ENDOSCOPY ASC LLC 2861 S DELANEY AVE, SUITE B BERGEN-PASSAIC CATARACT SURGERY AND LASER CENTER, 19-21INC. FAIR LAWN AVE, BEND SURGERY CENTER LLP 1303 NE CUSHING DR, SUITE 200 THE ENDOSCOPY CENTER OF BRISTOL 235 MEDICAL PARK BLVD, DEHAVEN CATARACT SURGICAL CENTER ,INC 1424 EAST FRONT, FREDERICK SURGICAL CENTER 915 TOLL HOUSE AVE, STE 103 DULANEY EYE INSTITUTE, LLC 901 DULANEY VALLEY RD, STE 220 EYE SURGERY & LASER CENTER, P.A. 4120 DEL PRADO BLVD S, EYE CARE SPECIALISTS PS 500 PORT DR, SPECIALTY SURGICAL CENTER OF BEVERLY HILLS LP 8670 WILSHIRE BLVD, STE 300 ROCHESTER ENDOSCOPY & SURGERY CENTER, L.L.C. 2700 S ROCHESTER RD, SOUTH BAY ENDOSCOPY CENTER, A MEDICAL CORPORATION 455 OCONNOR DR, SUITE 340 SURGERY CENTER OF JOLIET, LLC 301 MADISON ST STE 100, MIAMI EYE CENTER, INC. 619 NW 12TH AVE, SAME DAY SURGERY CENTERS OF FLORIDA LLC 6733 GALL BLVD, CENTRAL PARK SURGERY CENTER, L.P. 411 CENTRAL PARK DR, SUTTER ROSEVILLE ENDOSCOPY CENTER, LLC 4 MEDICAL PLAZA DR, SUITE #210 PALMETTO ENDOSCOPY CENTER LLC 2073 CHARLIE HALL BLVD, OTAY LAKES SURGERY CENTER, LLC 955 LANE AVE, SUITE 100 EYECARE MEDICAL GROUP 53 SEWALL STREET, MIDWEST DAY SURGERY LLC 3811 HIGHLAND AVE, SMA Informatics Confidential CITY ST PRINCE FREDERICK MD RICHMOND TX FAIRMONT MN TAMPA FL BASALT CO ALLENTOWN PA ALTAMONTE SPRINGSFL CLARKSVILLE TN ORLANDO FL FAIR LAWN NJ BEND OR BRISTOL TN TYLER TX FREDERICK MD TOWSON MD CAPE CORAL FL CLARKSTON WA BEVERLY HILLS CA ROCHESTER HILLS MI SAN JOSE CA JOLIET IL MIAMI FL ZEPHYRHILLS FL ARLINGTON TX ROSEVILLE CA CHARLESTON SC CHULA VISTA CA PORTLAND ME DOWNERS GROVE IL SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 65 ZIP 20678 77469 56031 33607 81621 18104 32701 37043 32806 07410 97701 37620 75702 21701 21204 33904 99403 90211 48307 95128 60435 33136 33542 76014 95661 29414 91914 04102 60515 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1376607309 1376614826 1376614966 1376616060 1376634683 1376641670 1376650358 1376650911 1376657890 1376667436 1376668921 1376692129 1376709907 1376716316 1376727214 1376729715 1376748228 1376774208 1376779561 1376780916 1376783530 1376790691 1376794172 1376797332 1376876094 1386600104 1386602332 1386602860 1386603173 PROVIDER NAME ADDRESS EMERALD SURGICAL CENTER LLC 811 N LIBERTY ST, GAINESVILLE FOOT AND ANKLE SURGERY CENTER, PC 1975 BEVERLY RD, SUITE-B DR. BHARATKUMAR A PATEL DDS 148 W RIVER ST, SUITE 3 NORTHSHORE SURGICAL CENTER 71207 HIGHWAY 21 STE B, MONTGOMERY SURGICAL CENTER, LTD 470 TAYLOR RD, SUITE 100 AMBULATORY SURGERY CENTER OF GREATER NEW YORK, 1101LLC PELHAM PKWY N, WENATCHEE VALLEY MEDICAL CENTER 916 KOALA AVE, ELM PLACE AMBULATORY SURGICAL CENTER 2217 S DANVILLE DR, SURGICAL SPECIALTY SUITES, INC 1304 BELLONA AVE, WESTWOOD EYE SURGERY & LASER CENTER, LLC 2515 SW TRENTON ST, SUITE #105 MAX WEISFELD, DPM, PA 2316 E JOPPA RD, STUART CARDON 3919 CREEKSIDE LOOP, ARDMORE REGIONAL SURGERY CENTER, LLC 2002 12TH AVE NW, SUITE C CPM SUGERY CENTER, P.C. 3870 MEDICAL PARK DR, SUITE 100 PROLIANCE SURGEONS INC PS 275 SOUTHWEST 160TH STREET, SUITE 200 ENDOSCOPY ASSOCIATES OF VALLEY FORGE LLC 420 W LINFIELD TRAPPE RD, BUILDING B FLORIDA SPECIALTY SURGERY CENTER LLC 6345 54TH AVE N, DIGESTIVE DISEASES DIAGNOSTIC & TREATMENT CENTER 214LLC AVENUE P, SURGICARE OF MIRAMAR LLC 14601 SW 29TH ST, HAMILTON SURGERY CENTER 9700 E 146TH ST, UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN8300 ANTONIO FLOYD CURL DR, MAIL CODE 7977 MEMORIAL HERMANN ENDOSCOPY & SURGERY CENTER 275 NORTH LANTERN HOUSTON, BEND DR, LLCSUITE 400 BEAUMONT SURGERY CENTER LLC 81 HIGHLAND SPRINGS AVENUE, SUITE 100A RENUE SURGERY CENTER LLC 2500 STARLING ST, SUITE 604 THE ORTHOPEDIC CENTER OF MONTANA AMBULATORY1401 SURGERY 25TH ST CENTER, S, LLC COLORADO SPRINGS EYE SURGERY CENTER 2920 N CASCADE AVE, SUITE 101 THREE RIVERS ENDOSCOPY CENTER 725 CHERRINGTON PARKWAY, STE 101 NATIONAL SURGICARE JV1 LTD 2690 N GALLOWAY AVE, EYE CARE SURGERY CENTER, INC 10423 OLD HAMMOND HWY, SMA Informatics Confidential CITY ST BOISE ID GAINESVILLE GA PROVIDENCE RI COVINGTON LA MONTGOMERY AL BRONX NY OMAK WA ABILENE TX LUTHERVILLE MD SEATTLE WA BALTIMORE MD YAKIMA WA ARDMORE OK AUSTELL GA BURIEN WA LIMERICK PA ST PETERSBURG FL BROOKLYN NY MIRAMAR FL NOBLESVILLE IN SAN ANTONIO TX HOUSTON TX BEAUMONT CA BRUNSWICK GA GREAT FALLS MT COLORADO SPRINGS CO MOON TOWNSHIP PA MESQUITE TX BATON ROUGE LA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 66 ZIP 83704 30501 02904 70433 36117 10469 98841 79605 21093 98106 21234 98902 73401 30106 98166 19468 33709 11204 33027 46060 78229 77090 92223 31520 59405 80907 15108 75150 70816 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1386604197 1386604908 1386609964 1386614519 1386614832 1386615912 1386616050 1386618783 1386619682 1386619708 1386624815 1386632610 1386641066 1386646891 1386647402 1386647527 1386650778 1386652667 1386654630 1386656551 1386657047 1386657666 1386667681 1386671824 1386673044 1386674091 1386677060 1386677326 1386681161 PROVIDER NAME ADDRESS SALINAS SURGERY CENTER 955 BLANCO CIR, MATTAX NEU PRATER SURGERY CENTER, LLC 1265 E PRIMROSE ST, SOUTH AUSTIN SURGERY CENTER LTD 4307 JAMES CASEY ST, IDAHO SURGERY CENTER, LLC 3115 MEDICAL DRIVE, CARROLL COUNTY DIGESTIVE DISEASE CENTER, LLC 216B WASHINGTON HEIGHTS MED CTR, PUGET SOUND GASTROENTEROLOGY, PS 501 N 34TH ST, SUITE 101 INDEPENDENCE ASC LLC 5330 N OAK TRFY, SUITE 100 LEWES DE ENDOSCOPY ASC LLC 34444 KING STREET ROW, SUITE 4A HUTCHINSON CLINIC, P.A. 2101 N WALDRON ST, ORLANDO FL ENDOSCOPY ASC LLC 11140 W COLONIAL DR, SUITE 3 QUALITY SURGICENTER LLC 2745 LINCOLNWAY, LHZ LIMITED 4441 HUDSON DR, NOVAMED EYE SURGERY CENTER OF MARYVILLE, LLC 12 PROFESSIONAL PARK DR, TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE8TH AMBULATORY AT RACE STREET, SURGICAL SECOND CTR FLOOR PHYSICIANS DAY SURGERY INC 850 111TH AVE N, THE ORTHOPEDIC SURGERY CENTER OF ORANGE COUNTY 351 HOSPITAL RD, STE 110 NORTH BEND MEDICAL CENTER INC 1900 WOODLAND DR, MACON OUTPATIENT SURGERY 840 PINE STREET, SUITE 840 BERAJA HEALTHCARE CORPORATION 2550 S DOUGLAS RD, HOOFNAGLE UROLOGY CENTER LLC 520 UPPER CHESAPEAKE DR, SUITE 208 THEDA OAKS GASTROENTEROLOGY & ENDOSCOPY CENTER 19226 LTD. STONEHUE STE 103, STOCKTON ENDOSCOPY CENTER LLC 415 E HARDING WAY, SUITE E DIGESTIVE DISEASE CONSULTANT OF FREDERICK ENDOSCOPY 915 TOLL STEHOUSE AVE, STE 201 EFTHEMIOS S. RAPHTIS MD PC 432 W. UNIVERSITY DR., UROLOGY CENTER OF GEORGIA LLC 1870 HARDEMAN AVE, CHESAPEAKE SURGERY CENTER 804 SNOW HILL RD, ASPIRUS STEVENS POINT SURGERY CENTER, LLC 5409 VERN HOLMES DR, INLAND EYE SPECIALISTS, A MEDICAL CORPORATION 3953 W. STETSON AVE., SUNCOAST SPECIALTY SURGERY CENTER, LLLP 4519 US HIGHWAY 19, SMA Informatics Confidential CITY SALINAS SPRINGFIELD AUSTIN CALDWELL WESTMINSTER SEATTLE KANSAS CITY LEWES HUTCHINSON OCOEE CLINTON STOW MARYVILLE PHILADELPHIA NAPLES NEWPORT BEACH COOS BAY MACON CORAL GABLES BEL AIR SAN ANTONIO STOCKTON FREDERICK ROCHESTER MACON SALISBURY STEVENS POINT HEMET NEW PORT RICHEY SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 67 ST ZIP CA MO TX ID MD WA MO DE KS FL IA OH IL PW FL CA OR GA FL MD TX CA MD MI GA MD WI CA FL 93901 65804 78745 83605 21157 98103 64118 19958 67502 34761 52732 44224 62062 19107 34108 92663 97420 31201 33134 21014 78258 95204 21701 48307 31201 21804 54481 92545 34652 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1386692846 1386696458 1386697803 1386710937 1386713501 1386721249 1386730950 1386736668 1386737021 1386739498 1386745479 1386748440 1386749943 1386757854 1386771178 1386771996 1386782787 1386792588 1386793370 1386794980 1386795540 1386796332 1386799609 1386803997 1386809978 1386821817 1386823854 1386831741 1386833044 PROVIDER NAME ADDRESS NORTH GEORGIA FOOT & ANKLE SURGERY CENTER, LLC. 146 SMITHERMAN RD, THE ENDOSCOPY CENTER OF LAKE COUNTY, LLC 9614 OLD JOHNNYCAKE RIDGE RD, DARTMOUTH-HITCHCOCK CLINIC 100 HITCHCOCK WAY, MONTGOMERY EYE CENTER, INC. 700 NEAPOLITAN WAY, STARPOINT HEALTH, INC. 14400 BEAR VALLEY RD, ALLIED PHYSICIANS SURGERY CENTER, LLC 53990 CARMICHAEL DR, SUITE 100 ENDOSCOPY CENTER OF GULF BREEZE LLC 1116 GULF BREEZE PARKWAY, PARKWEST SURGICAL CENTER 1 PARK WEST BLVD, SUITE 260 ARKANSAS OUTPATIENT EYE SURGERY, LLC 3318 N NORTH HILLS BLVD., GEORGIA LITHOTRIPSY AND LASER CENTER 120 TRINITY PL, VEGA ALTA MEDICAL SERVICES MARGINAL #1 URB SANTA RITA, COAST CENTER FOR ORTHOPEDIC AND ARTHROSCOPIC3444 SURGERY-LP KEARNY VILLA ROAD STE 100, QUAIL SURGICAL AND PAIN MANAGEMENT CENTER, LLC 6630 S MCCARRAN BLVD # C25, ENDOSCOPY CENTER OF CONNECTICUT, LLC 2200 WHITNEY AVE, SUITE 380 EYECARE NETWORK LTD 1360 MEDICAL PARK DR, CENTER FOR COSMETIC AND PLASTIC SURGERY INC 1353 E MCANDREWS RD, DECATUR SURGERY CENTER LP 2828 HIGHWAY 31 SOUTH, WM DARRELL GASKINS MD LLC 2335 9TH ST N STE 304, SURGERY CENTER OF WEST MONROE, LLC 102 REGENCY PL, NEW VISION CATARACT CENTER 605 WEST AVE, LOWER LEVEL THE SURGERY CENTER AT LONE TREE, LLC 8500 PARK MEADOWS DR, SUITE 100 TOLEDO CLINIC INCORPORATED 4235 SECOR RD, SPECIALTY SURGERY CENTER, INC. 5505 PEACHTREE DUNWOODY RD NE, SUITE 645 CENTRAL PLAINS PLASTIC & RECONSTRUCTIVE SURGERY 3712 PC 28TH AVE, THE CATARACT SURGERY CENTER OF MILFORD, INC. 145 WEST ST, MIAMI SURGERY CENTER LLC 3650 NW 82ND AVE, SUITE 101 THE GLENDALE AZ ENDOSCOPY ASC LLC 5823 W EUGIE AVE, SUITE B SURGICAL INSTITUTE OF LAKE OF THE OZARKS LLC 1052 NICHOLS ROAD, THE POTTSVILLE PA ENDOSCOPY ASC LP 48 TUNNEL RD, SUITE 103 SMA Informatics Confidential CITY RINGGOLD MENTOR MANCHESTER NAPLES VICTORVILLE SOUTH BEND GULF BREEZE AKRON FAYETTEVILLE ATHENS VEGA ALTA SAN DIEGO RENO HAMDEN MAYSVILLE MEDFORD DECATUR NAPLES WEST MONROE NORWALK LONE TREE TOLEDO ATLANTA KEARNEY MILFORD DORAL GLENDALE OSAGE BEACH POTTSVILLE SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 68 ST ZIP GA OH NH FL CA IN FL OH AR GA PR CA NV CT KY OR AL FL LA CT CO OH GA NE MA FL AZ MO PA 30736 44060 03104 34103 92392 46635 32561 44320 72703 30607 00692 92123 89509 06518 41056 97504 35603 34103 71291 06850 80124 43623 30342 68845 01757 33166 85304 65065 17901 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1386861615 1386869386 1386882587 1386890606 1386892230 1386898435 1386972750 1396063673 1396076980 1396700159 1396700407 1396700753 1396700944 1396702528 1396709077 1396718318 1396719563 1396722112 1396726097 1396727418 1396733390 1396733945 1396735833 1396738936 1396741542 1396741807 1396742029 1396748547 1396760245 PROVIDER NAME ADDRESS FOOT & ANKLE CENTER OF WENATCHEE, P.S. 616 N CHELAN AVE, SUITE ASC MIDTOWN SURGICAL CENTER, LLC 906 ABERCORN ST, BAYLOR SURGICARE AT GRANBURY, LLC 1717 PALUXY RD, THE CENTER FOR SURGICAL INTERVENTION 5950 S DURANGO DR, NORMAN ENDOSCOPY CENTER, LLC 1125 N PORTER AVE, SUITE 206 COLUMBIA GORGE SURGERY CENTER, LLC 1020 WEBBER ST, KINSTON MEDICAL SPECIALISTS PA 701 DOCTORS DR, SUITE N GATEWAY ENDOSCOPY CENTER, LP 12855 NORTH FORTY DRIVE, SUITE 150 BAY SURGERY CENTERS - KENT ISLAND 120 SALLITT DR, DOCTORS SAME DAY SURGERY CENTER, LTD 5741 BEE RIDGE RD, SUITE 100 ARLINGTON DAY SURGERY CENTER ASSOCIATES LTD 918 N DAVIS DRIVE, HALCYON LASER & SURGERY CENTER, INC. 303 S HALCYON RD, WATTS PLASTIC SURGERY ASSOCIATION INC. 1051 W SHERMAN AVE, BLDG. 2 STE A TALLAHASSEE NEUROSUGERY PAIN MANAGEMENT LLC2824 MAHAN DR, SUITE 2 RMC SURGERY CENTER INC 7160 BROCKTON AVE, DOVER OPHTHALMOLOGY ASC LLC 655 S BAY RD, SUITE 5B BAPTIST GERMANTOWN SURGERY CENTER, LP 2100 EXETER RD, SUITE 101 ARLINGTON SURGICARE PARTNERS, LTD 2400 MATLOCK RD, MISSISSIPPI SURGICAL CENTER LP 1421 N STATE ST, ENDOSCOPY CENTER OF LITTLE ROCK,LLC 4200 N RODNEY PARHAM RD, TALLEY CATARACT AND LASER INSTITUTE 201 W IOWA ST, EYE LASER & SURGERY CENTER OF COLUMBUS, LLC 634 LEIGH DR, NEWTON ROCKDALE AMBULATORY SURGERY CENTER 4167 HOSPITAL DR NE, WARREN GASTROINTESTINAL ENDOSCOPY CENTER, INC1622 E MARKET ST, BEARWOOD AMBULATORY SURGERY CENTER 3031 N HIGHWAY 81, EAST BAY ENDOSCOPY CENTER LP 5858 HORTON ST, STE 100 GARLAND SURGICARE PARTNERS, LTD. 530 CLARA BARTON BLVD, SUITE 100 GALILEO SURGERY CENTER 1001 E FOOTHILL BLVD, DR. O'CONNELLS PAINCARE CENTERS, INC 255 ROUTE 108, SMA Informatics Confidential CITY WENATCHEE SAVANNAH GRANBURY LAS VEGAS NORMAN THE DALLES KINSTON SAINT LOUIS STEVENSVILLE SARASOTA ARLINGTON ARROYO GRANDE VINELAND TALLAHASSEE RIVERSIDE DOVER GERMANTOWN ARLINGTON JACKSON LITTLE ROCK EVANSVILLE COLUMBUS COVINGTON WARREN ANDERSON EMERYVILLE GARLAND SAN LUIS OBISPO SOMERSWORTH SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 69 ST ZIP WA GA TX NV OK OR NC MO MD FL TX CA NJ FL CA DE TN TX MS AR IN MS GA OH SC CA TX CA NH 98801 31401 76048 89113 73071 97058 28501 63141 21666 34233 76012 93420 08360 32308 92506 19901 38138 76015 39202 72212 47710 39705 30014 44483 29621 94608 75042 93405 03878 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1396763074 1396774535 1396774543 1396775201 1396780466 1396784252 1396787040 1396793790 1396796249 1396812491 1396823381 1396824355 1396825386 1396827978 1396828323 1396832549 1396844429 1396852570 1396870028 1396877726 1396896684 1396897351 1396919783 1396951653 1396983847 1396990701 1407004534 1407023161 1407023187 PROVIDER NAME ADDRESS EYE CENTERS OF LOUISVILLE,P.S.C. 1400 POPLAR LEVEL RD, ODESSA EAST LOOP SURGERY CENTER ,LP 155 SE LOOP 338, SUITE 500 WISCONSIN SURGERY CENTER LLC 3305 S 20TH ST, STE 150 SECURITY AMBULATORY SURGI CENTER, LLC 2 E ROLLING CROSSROADS, SUITE 55 CENTRAL OHIO UROLOGY GROUP, INC. 3100 PLAZA PROPERTIES BLVD, SUITE 310 FRONTENAC AMBULATORY SURGERY AND SPINE CARE,10435 LP CLAYTON RD, SUITE 110 VINCENT N MUONEKE MD PS 16233 SYLVESTER RD SW, SUITE 280 SURGERY CENTER AT HEALTH PARK LLP 600 HEALTH PARK BLVD, SUITE A TAMPA BAY SURGERY CENTER ASSOCIATES, LTD. 2727 W DR MARTIN LUTHER KING JR BLVD, VALLEY ENDOSCOPY CENTER, INC 68377 STEWART DR, HEAD AND NECK SURGERY ASSOCIATES, PSC 7575 US HIGHWAY 42, THE CENTER FOR SIGHT, PA TWO MEDICAL CENTER BLVD, HUDSON VALLEY ENDOSCOPY CENTER, INC 400 WESTAGE BUSINESS CTR DR, STE 202 SHERMAN WAY SURGICAL CENTER,INC 18909 SHERMAN WAY, EYE CARE SURGERY CENTER OF MEMPHIS, LLC 5350 POPLAR AVE, SUITE 900 GENESEE CARE L.L.C. 5202 MILLER RD, PAVONIA SURGERY CENTER INC 600 PAVONIA AVE, 4TH FLOOR EAGLE PHYSICIANS AND ASSOCIATES PA 1002 N CHURCH ST, SUITE 2 BRAZOSPORT EYE FACILITY, INC. 103 PARKING WAY ST, REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, 4140 OREGON LTD PIKE, DREYER AMBULATORY SURGERY CENTER 1221 N HIGHLAND AVE, THE ADULT & PEDIATRIC UROLOGY SURGERY CENTER LLC 3455 WILKENS AVE, SUITE 100 SURGCENTER OF SOUTHERN MARYLAND, LLC 9001 WOODYARD RD, FOREST HEALTHCARE ASSOCIATES, P.C. 277 FOREST AVENUE, EYE SURGERY CENTER LLC 8905 FAIRVIEW ROAD, SUITE 100 PEACEHEALTH 4545 CORDATA PARKWAY, ASC DEVELOPEMENT COMPANY, LLC 7120 MINSTREAL WAY, SUITE 106 SOUTHWEST MINNESOTA SURGICAL CENTER, INC 1401 NWAKAMA ST, SUITE 400 LAWTON INDIAN HOSPITAL 1515 NE LAWRIE TATUM RD, SMA Informatics Confidential CITY LOUISVILLE ODESSA MILWAUKEE CATONSVILLE COLUMBUS FRONTENAC BURIEN GRAND BLANC TAMPA SAINT CLAIRSVILLE FLORENCE LUFKIN FISHKILL RESEDA MEMPHIS FLINT JERSEY CITY GREENSBORO LAKE JACKSON EPHRATA AURORA BALTIMORE CLINTON PARAMUS SILVER SPRING BELLINGHAM COLUMBIA MARSHALL LAWTON SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 70 ST ZIP KY TX WI MD OH MO WA MI FL OH KY TX NY CA TN MI NJ NC TX PA IL MD MD NJ MD WA MD MN OK 40217 79762 53215 21228 43219 63131 98166 48439 33607 43950 41042 75904 12524 91335 38119 48507 07306 27401 77566 17522 60506 21229 20735 07652 20910 98226 21045 56258 73507 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1407035215 1407039589 1407046436 1407066822 1407079155 1407095359 1407801509 1407802788 1407807050 1407812498 1407812860 1407813066 1407813181 1407819857 1407820962 1407824436 1407828494 1407829732 1407829773 1407833858 1407836315 1407838063 1407846215 1407847676 1407849979 1407851090 1407853740 1407860745 1407864762 PROVIDER NAME ADDRESS CITY ST BUENA VISTA SURGERY CENTER MEDICAL GROUP INCORPORATED 2701 W ALAMEDA AVE, SUITE 402 BURBANK CA DHHS, PHS, NAIHS, SHIPROCK HOSPITAL US HWY 491 NORTH, SHIPROCK NM NORTHWOODS SURGERY CENTER, LLC 611 VETERANS PKWY, WOODRUFF WI SPINAL INJECTION INSTITUTE 6410 ROCKLEDGE DR, SUITE 110 BETHESDA MD NORTHERN VIRGINIA EYE SURGERY CENTER, LLC 2710 PROSPERITY AVE, SUITE 150 FAIRFAX VA PAIN CARE CENTER OF GEORGIA LLC 1365 ROCK QUARRY RD, SUITE 301 STOCKBRIDGE GA ATLANTIC SURGERY CENTER,LLC 279 3RD AVE, 105 LONG BRANCH NJ ENT SURGICAL CENTER OF CENTRAL GEORGIA, INC 1719 RUSSELL PKWY, BLDG 300, SUITE 301 WARNER ROBINS GA EL PASO DAY SURGERY LP 1300 MURCHISON, STE 200 EL PASO TX LOYOLA AMBULATORY SURGERY CENTER AT OAKBROOK ONE LP SOUTH 224 SUMMIT AVE., SUITE 201 OAKBROOK TERRACEIL THE SURGICAL CENTER OF THE TREASURE COAST, LLC 9075 S FEDERAL HWY, PORT ST LUCIE FL GREATER LONG BEACH ENDOSCOPY CENTER 2880 ATLANTIC AVE, SUITE 180 LONG BEACH CA DE DIEGO AMBULATORY CLINIC CORP 150 AVE DE DIEGO, CONDOMINIO SAN JUAN HEALTH SANCENTRE JUAN BOX 1 PR DOCTORS SURGERY CENTER OF KINGMAN, LLC 1740 SYCAMORE AVE, KINGMAN AZ WINTER HAVEN SEBRING FL OPHTHALMOLOGY ASC LLC409 AVENUE K SE, WINTER HAVEN FL ORAL FACIAL SURGERY CENTER, INC. 322 22ND AVE N, NASHVILLE TN INDEPENDENCE ASC LLC 3800 S WHITNEY AVE, SUITE 100 INDEPENDENCE MO COURT ENDOSCOPY CENTER OF FREDERICK, INC. 85 THOMAS JOHNSON CT, SUITE E FREDERICK MD LA JOLLA ENDOSCOPY CENTER LP 9850 GENESEE AVE, SUITE 980 LA JOLLA CA SURGERY CENTER OF INDIANAPOLIS LLC 2007 N CAPITOL AVE, INDIANAPOLIS IN SPINE CARE DELAWARE, LLC 4102 OGLETOWN STANTON RD, SUITE B NEWARK DE SOUTH CAROLINA MEDICAL ENDOSCOPY, INC. 1735 TAYLOR ST, COLUMBIA SC DAVIS EYE CENTER 789 GRAHAM RD, CUYAHOGA FALLS OH EASTSIDE ASSOCIATES, LLC 28963 LITTLE MACK AVE, SUITE 103 ST CLAIR SHORES MI ENDOSCOPY CENTER OF OAK RIDGE, LLC 988 OAK RIDGE TPKE, SUITE 220, PHYSICIANS PLAZAOAK RIDGE TN WICHITA FALLS ENDOSCOPY CENTER 1500 9TH ST, WICHITA FALLS TX NORTHEAST BAPTIST SURGERY CENTER LLC 8715 VILLAGE DR, SUITE 200 SAN ANTONIO TX PROVIDENCE SURGERY CENTER LLC 902 N ORANGE ST, MISSOULA MT PRIMED GASTROENTEROLOGY, LLC 888 WHITE PLAINS RD, SUITE 210 TRUMBULL CT SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 71 ZIP 91505 87420 54568 20817 22031 30281 07740 31088 79902 60181 34952 90806 00907 86409 33880 37203 64055 21702 92037 46202 19713 29201 44221 48081 37830 76301 78217 59802 06611 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1407867583 1407869373 1407873292 1407894553 1407932619 1407947112 1407954365 1407964950 1407967706 1407969561 1407992241 1407992878 1407993132 1417003195 1417008707 1417021940 1417028150 1417041468 1417044744 1417050709 1417051533 1417054628 1417060898 1417066135 1417077090 1417080342 1417114166 1417118241 1417118407 PROVIDER NAME ADDRESS ACADIA MEDICAL ARTS AMBULATORY SURGIGERY SUITES 404 STATE ST, VALENCIA SURGICAL CENTER 24355 LYONS AVE, 120 SURGERY CENTER OF VOLUSIA, LLC 3635 S CLYDE MORRIS BLVD, SUITE 500 HAND SURGERY OF COLORADO LLC 2535 S DOWNING ST, SUITE 550 PACIFIC EYE INSTITUTE AMBULATORY SURGERY CTR 555 N 13TH AVE, AMBULATORY SURGERY CENTER OF BETHESDA, LLC 11210 OLD GEORGETOWN RD, ASC-TCG, LLC 37399 GARFIELD ROAD, SUITE 100 SURGERY CENTER OF ENID INC 1133 WEST WILLOW RD, BAYSIDE SURGICAL CENTER, INC. 8023 RITCHIE HWY, SADDLEBACK OUTPATIENT SURGERY CENTER LTD 24302 PASEO DE VALENCIA, LAKESIDE ENDOSCOPY CENTER LLC 17001 LAKESIDE HILLS PLZ, WILSON COUNTY EYE SURGERY CENTER, LLC 1670 W MAIN ST, SUITE 120 DIGESTIVE DISEASE ENDOSCOPY CENTER 715 N WEBER ST, CAMINO MEDICAL GROUP 301 OLD SAN FRANCISCO RD, ORANGE COUNTY INSTITUTE OF GASTROENTEROLOGY 26732 AND ENDOSCOPY CROWN VALLEY PKWY, SUITE 241 DR. MICHAEL O'BRIEN M.D. 618 TOLL GATE RD, WESTMINSTER SURGERY CENTER INC. 8331 WESTMINSTER BLVD, SURGICAL LICENSED WARD PARTNERS LLP 110 W UNDERWOOD ST, SUITE B SURGIPLEX LLC 122 E RIDGEWOOD AVE, COLUMBUS SURGERY CENTER, LLC 3772 43RD AVENUE, SUITE B OAK TREE ASC, LLC 751 CORDOVA ST, STE 2 KEARNEY ENDOSCOPY CENTER L.L.C. 3219 CENTRAL AVE, ENDOSCOPY CENTER OF COLORADO SPRINGS, LLC 2940 N CIRCLE DR, ENDOSCOPY CENTER OF LAWRENCE 4525 W 6TH ST STE 100, BAPTIST MEDICAL PARK SURGERY CENTER LLC 9400 UNIVERSITY PKWY, SUITE 102 MORGANTON EYE PHYSICIANS SURGERY CENTER 1622 E MARION ST, STONECREEK SURGERY CENTER LLC 5915 S RAINBOW BLVD, STE. 108 DIGESTIVE HEALTH COMPLEX,INC 300 W MAIN STREET, MSC AMBULATORY SURGICAL CENTER, LLC 6410 ROCKLEDGE DR STE 500, SMA Informatics Confidential CITY ST BANGOR ME SANTA CLARITA CA PORT ORANGE FL DENVER CO UPLAND CA NORTH BETHESDA MD CLINTON TOWNSHIP MI ENID OK PASADENA MD LAGUNA HILLS CA OMAHA NE LEBANON TN COLORADO SPRINGS CO SUNNYVALE CA MISSION VIEJO CA WARWICK RI WESTMINSTER CA ORLANDO FL PARAMUS NJ COLUMBUS NE PASADENA CA KEARNEY NE COLORADO SPRINGS CO LAWRENCE KS PENSACOLA FL SHELBY NC LAS VEGAS NV ST CLAIRSVILLE OH BETHESDA MD SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 72 ZIP 04401 91321 32129 80210 91786 20852 48036 73703 21122 92653 68130 37087 80903 94086 92691 02886 92683 32806 07652 68601 91101 68847 80909 66049 32514 28150 89118 43950 20817 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1417120684 1417141623 1417142084 1417163635 1417190935 1417193939 1417286428 1417287137 1417901018 1417903899 1417904756 1417906660 1417911322 1417912098 1417912353 1417916800 1417918772 1417919879 1417921537 1417922808 1417922915 1417935206 1417935503 1417936477 1417937756 1417944778 1417945312 1417949280 1417950197 PROVIDER NAME ADDRESS NORTH TEXAS HEALTH ALLIANCE, LLC 2200 PHYSICIANS BOULEVARD, SUITE A FAYETTEVILLE GASTROENTEROLOGY ASSOCIATES, P.A. 2041 VALLEYGATE DR, MID- AMERICA SURGERY CENTER, LLC 1815 CLARKSON ROAD, JENNIFER L REICHEL 11011 MERIDIAN AVE N, SUITE 102 MID-FLORIDA ENDOSCOPY & SURGERY CENTER LLC 1950 SW 18TH CT, SUITE 102 PARK ENDOSCOPY CENTER, LLC 2602 N HERRITAGE ST, ALLIANCE SURGICAL CENTER LLC 917 RINEHART RD, SUITE 1001 EAST PORTLAND SURGERY CENTER LLC 9200 SE 91ST AVE, SUITE 100 TALLAHASSEE SINGLE DAY SURGERY CENTER 1661 PHILLIPS RD, JUPITER OUTPATIENT SURGERY CENTER LLC 2055 MILITARY TRL, SUITE 100 METROPOLITAN MEDICAL CENTER, LLC 4495 N OAKLAND AVE, DOCTORS PARK SURGERY CENTER, LLC 2090 NE WYATT CT, SUITE 102 TRIANGLE GASTROENTEROLOGY PLLC 2600 ATLANTIC AVE, BAILEY SQUARE AMBULATORY SURGICAL CENTER, LTD1111 W 34TH ST, WINTER PARK SURGERY CENTER LP 2056 ALOMA AVE, SUITE 200 TULSA OK ENDOSCOPY ASC LLC 4200 E SKELLY DR, SUITE 100 NORTHWEST CENTER FOR PLASTIC SURGERY, LLC 743 COUNTRY CLUB RD, HUNTERDON ENDOSURGERY CENTER 2100 WESCOTT DR, SUITE 204 PEORIA AZ MULTI ASC LLC 14416 W MEEKER BLVD, SUITE 103 CENTRAL QUEENS DAY SURGICAL CENTER, INC. 8340 WOODHAVEN BLVD, FRANCONIA-SPRINGFIELD SURGERY CENTER 6355 WALKER LN, SUITE 200 DIGESTIVE DISEASE CENTER 24411 HEALTH CENTER DR, SUITE 450 AVAMAR CENTER FOR ENDOSCOPY,INC 9225 E MARKET ST, ORTHOPAEDICS NORTHEAST PC 11420 PARKVIEW CIRCLE DR, CLEVELAND ASC LLC 5106 WILSON MILLS RD, MERRIMACK VALLEY ENDOSCOPY CENTER 1 PARKWAY, WESTFIELD SURGERY CENTER 4825 W TILGHMAN ST, CLEARWATER AMBULATORY SURGICAL CENTER 401 CORBETT ST, SUITE 220 MUSEUM CENTER SURGERY GROUP INC. 5757 WILSHIRE BLVD, PH 6 SMA Informatics Confidential CITY ST ENNIS TX FAYETTEVILLE NC CHESTERFIELD MO SEATTLE WA OCALA FL KINSTON NC LAKE MARY FL HAPPY VALLEY OR TALLAHASSEE FL JUPITER FL SHOREWOOD WI BEND OR RALEIGH NC AUSTIN TX WINTER PARK FL TULSA OK EUGENE OR FLEMINGTON NJ SUN CITY WEST AZ GLENDALE NY ALEXANDRIA VA LAGUNA HILLS CA WARREN OH FORT WAYNE IN RICHMOND HEIGHTSOH HAVERHILL MA ALLENTOWN PA BELLEAIR FL LOS ANGELES CA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 73 ZIP 75119 28304 63017 98133 34471 28501 32746 97086 32308 33458 53211 97701 27604 78705 32792 74135 97401 08822 85375 11385 22310 92653 44484 46845 44143 01830 18104 33756 90036 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1417950395 1417953985 1417957796 1417958729 1417971821 1417971847 1417972217 1417979550 1417985102 1417987595 1417992835 1417993080 1417993494 1417994831 1417994856 1427003052 1427005313 1427009034 1427012202 1427015999 1427017813 1427017987 1427020007 1427020213 1427027721 1427028919 1427029396 1427035591 1427044452 PROVIDER NAME ADDRESS GRAND VALLEY SURGICAL CENTER 2680 LEONARD ST NE, STE 1 MONTGOMERY ENDOSCOPY CENTER 12012 VEIRS MILL RD, ENDOSCOPY CENTER OF MONROE, INC. 316 S 6TH ST, MENTOR SURGERY CENTER 9485 MENTOR AVE, SUITE ONE NORTHRIDGE ADVANCED SURGERY CENTER 8331 RESEDA BLVD, AMBULATORY SURGERY CENTER OF BOISE 115 W MAIN ST, SUITE 102 BROAD STREET SURGICAL CENTER, LLC 1429 BROAD ST, BOWMAN PAIN MANAGEMENT CENTER, PC 4149 ARKWRIGHT RD, SUITE B SOUTHWESTERN EYE CENTER 2149 W 24TH ST, ENDOSCOPY CENTER OF NORTH BALTIMORE 1220C E JOPPA RD, SUITE A508 SPINAL DIAGNOSTICS & TREATMENT CENTER 901 CAMPUS DRIVE, SUITE 310 MIDTOWN ENDOSCOPY CENTER, LLC 550 PEACHTREE ST NE, SUITE 1660 CONCORD AMBULATORY SURGERY CENTER, LLC 60 COMMERCIAL ST, SUITE 301 CATALINA SURGERY CENTER, LLC 7508 N LA CHOLLA BLVD, DELRAY AMBULATORY SURGICAL & LASER CENTER 4800 LINTON BLVD, BLDG B EYE SURGERY CENTER OF NASHVILLE LLC 310 25TH AVENUE NORTH, SUITE 105 WESTERN WASHINGTON MEDICAL GROUP 12800 BOTHELL EVERETT HWY, SUITE 300 PRAIRIE STATES SURGICAL CENTER LLC 2908 E 26TH ST STE B, OUTPATIENT SURGICAL SERVICES LTD 301 NW 82ND AVE, WEST SHORE SURGERY, LTD 2015 TECHNOLOGY PKWY, WESTERN WASHINGTON ENDOSCOPY CENTERS LLC 2727 HOLLYCROFT ST, SUITE 480 BAPTIST SURGERY CENTER LP 312 21ST AVE N, OUTPATIENT ORTHOPEDIC SURGERY CENTER, LLC 1601 FAIR RD, SUITE 500 TOLEDO ENDOSCOPY ASC LLC 4841 MONROE ST, SUITE 111 WEST MONROE ENDOSCOPY CENTER ASC LLC 102 THOMAS RD, SUITE 506 CASCADE ENDOSCOPY CENTER LLC 1007 HARLOW RD, SUITE 110 MAYO CLINIC ARIZONA 13400 E SHEA BLVD, THE EYE CENTER OF COLUMBUS, LLC 262 NEIL AVE, STE 500 THE SURGERY CENTER @ SELF MEMORIAL HOSPITAL, LLC 101 ACADEMY AVE, SMA Informatics Confidential CITY GRAND RAPIDS WHEATON MONROE MENTOR NORTHRIDGE BOISE CLIFTON MACON YUMA TOWSON DALY CITY ATLANTA CONCORD TUCSON DELRAY BEACH NASHVILLE EVERETT SIOUX FALLS PLANTATION MECHANICSBURG GIG HARBOR NASHVILLE STATESBORO TOLEDO WEST MONROE SPRINGFIELD SCOTTSDALE COLUMBUS GREENWOOD SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 74 ST ZIP MI MD LA OH CA ID NJ GA AZ MD CA GA NH AZ FL TN WA SD FL PA WA TN GA OH LA OR AZ OH SC 49525 20906 71201 44060 91324 83702 07013 31210 85364 21286 94015 30308 03301 85741 33445 37203 98208 57103 33324 17050 98335 37203 30458 43623 71291 97477 85259 43215 29646 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1427049352 1427051796 1427052026 1427055425 1427056100 1427075142 1427078930 1427083047 1427092279 1427094945 1427098201 1427098920 1427116367 1427119452 1427124080 1427127919 1427134998 1427144336 1427152073 1427166990 1427183664 1427212919 1427273440 1427282771 1427295658 1427373679 1427384924 1437100666 1437101433 PROVIDER NAME ADDRESS AMBULATORY SURGICAL ASSOCIATES,LLC 1450 ROUTE 22, SOUTH BEND IN ENDOSCOPY ASC LLC 53830 GENERATIONS DR, SUMMIT ENDOSCOPY CENTER 1265 HIGHWAY 54 W, STE 401 PHYSICIANS PAVILION LP 545 STONECREST PKWY, COLONOSCOPY CENTER INC 9850 NICHOLAS STREET, SUITE 100 SPALDING SURGICAL CENTER OF BEVERLY HILLS, LLC 120 S. SPALDING DRIVE, SUITE 301 RETINA CONSULTANTS SURGERY CENTER 39 SYCAMORE AVE, SOUTHEASTERN PAIN AMBULATORY SURGERY CENTER1140 HAMMOND DRIVE, D 4140 I.P.M. SURGICENTER 24953 PASEO DE VALENCIA, SUITE#14-C TRI-STATE SURGERY CENTER LLC 95 LEONARD AVE, LAKE AREA SURGICARE LP 2100 LAKE ST, LEWES SURGICAL & MEDICAL ASSOCIATES, P.A. 32711 LONG NECK RD, BROOK PLAZA AMBULATORY SURGICAL CENTER, INC. 5000 AVENUE K, PALMS SURGERY CENTER L.L.C. 204 N MAGDALEN SQ, SANTA ANA OUTPATIENT SURGERY CENTER, LP 1450 E 17TH ST, #102 STONERIDGE ENDOSCOPY CENTER 3900 STONERIDGE LN, KIRBY HIGHLAND LAKES SURGERY CENTER LLP 204 GATEWAY N STE B, THE PORTLAND CLINIC SURGICAL CENTER 800 SW 13TH AVE, PATIENT PARTNERS. LLC 890 N. BLUE JAY WAY, LOS ALTOS SURGERY CENTER 795 ALTOS OAKS DR, LAGRECA EYE CLINIC, P.C. 1150 MAIN ST, NORTH BAY ENDOSCOPY CENTER LLC 1383 N MCDOWELL BLVD, ENDOSCOPY CENTER OF ST. LOUIS, LLC 12990 MANCHESTER RD, SUITE 1 UPSTATE ORTHOPEDICS AMBULATORY SURGERY CENTER 6620 LLCFLY RD, SUITE 300 RESERVOIR PHYSICIANS SURGERY CENTER, LLC 6719 ALVARADO RD, SUITE 100 CNI SURGICARE LLC 3111 VILLAGE POINTE, RED RIVER SURGERY CENTER LLC 708 N ASHLEY RIDGE LOOP BLDG 400, HEARTLAND CATARACT AND LASER SURGERY CENTER 1103 GALVIN RD S, SUITE J TRI CITY SURGERY CENTER LLC 5430 DISTINCTION WAY, SMA Informatics Confidential CITY MOUNTAINSIDE SOUTH BEND FAYETTEVILLE SMYRNA OMAHA BEVERLY HILLS LITTLE SILVER ATLANTA LAGUNA HILLS WASHINGTON LAKE CHARLES MILLSBORO BROOKLYN ABBEVILLE SANTA ANA DUBLIN MARBLE FALLS PORTLAND GALLATIN LOS ALTOS LANDER PETALUMA DES PERES EAST SYRACUSE SAN DIEGO CHESTERTON SHREVEPORT BELLEVUE PRESCOTT SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 75 ST ZIP NJ IN GA TN NE CA NJ GA CA PA LA DE NY LA CA OH TX OR TN CA WY CA MO NY CA IN LA NE AZ 07092 46635 30214 37167 68114 90212 07739 30328 92653 15301 70601 19966 11234 70510 92705 43017 78654 97205 37066 94024 82520 94954 63131 13057 92120 46304 71106 68005 86301 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1437102241 1437104718 1437105368 1437106846 1437107844 1437110293 1437112455 1437113206 1437114378 1437115086 1437115094 1437116274 1437120334 1437120953 1437122637 1437123270 1437138500 1437142932 1437145794 1437148004 1437148681 1437155207 1437156379 1437162229 1437170669 1437175627 1437183365 1437185063 1437186988 PROVIDER NAME ADDRESS SURGERY CENTER OF FREMONT, LLC 2727 N CLARKSON ST, SLTLBKASSOCIATES, LLC 1685 VALLEY CENTER PKWY, PROLIANCE SURGEONS, INC., P.S. 1401 S LAVENTURE RD, ANTIETAM UROSURGICAL CENTER, LLC, ASC 11110 MEDICAL CAMPUS RD, SUITE 228 THE CENTER FOR GASTROINTESTINAL HEALTH AT HEALTH 600PARK HEALTH LLCPARK BOULVARD, SUITE E ST. VINCENT-ARKANSAS ORTHOPAEDIC SURGERY CENTER 6101 LLCSAINT VINCENT CIR, 2ND FLOOR SPACE COAST SURGICAL CENTER LTD 220 N SYKES CREEK PKWY, SUITE 101 ORLANDO SURGICARE LTD 88 W KALEY ST, EMERALD COAST SURGERY CENTER LP 995 MAR WALT DR, WAYLAND SQUARE SURGICARE ACQUISITION LP 17 SEEKONK ST, SURGERY CENTER OF LANCASTER, L.P. 810 PLAZA BLVD, STE 101 SILVER SPRINGS SURGERY CENTER LLC 319 S SILVER SPRINGS RD, STE B PRESCOTT EYE CARE & SURGICAL CENTER PC 831 GAIL GARDNER WAY, MONTGOMERY SURGERY CENTER LIMITED PARTNERSHIP 46 W GUDE DR, TAMARAC ENDOSCOPY ASC LLC 7481 N UNIVERSITY DR, EDINA MN OPHTHALMOLOGY ASC LLC 3124 W 70TH ST, CONCORD EYE SURGERY LLC 246 PLEASANT ST, SUITE 105B FOUNDATION SURGERY AFFILIATE OF WEST HOUSTON15775 PARK TEN PL, ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES 2500 E PROSPECT RD, LEWIS CLARK ENDOSCOPY, PLLC 1630 23RD AVE, SUITE 801 REGIONAL AMBULATORY SURGERY CENTER, LLC 1376 BUCKTAIL RD, TEXARKANA SURGERY CENTER LP 5404 SUMMERHILL RD, SAN FERNANDO VALLEY SURGERY CENTER, LP 11550 INDIAN HILLS RD, SUITE 160 DIMENSIONS HEALTH CORPORATION 14999 HEALTH CENTER DR, BALTIMORE-HARFORD SURGICAL CENTERS, L.L.C. 7505 OSLER DR, SUITE 508 PUEBLO ENDOSCOPY SUITES, LLC 1600 N GRAND AVE, SUITE 420 THOMASVILLE SURGERY CENTER, INC. 2282 E PINETREE BLVD, SUITE B ALLIANCE SURGERY CENTER 2525 EYE ST, OASC, LLC 839 82ND PKWY, SMA Informatics Confidential CITY ST FREMONT NE BETHLEHEM PA MOUNT VERNON WA HAGERSTOWN MD GRAND BLANC MI LITTLE ROCK AR MERRITT ISLAND FL ORLANDO FL FORT WALTON BEACHFL PROVIDENCE RI LANCASTER PA CAPE GIRARDEAU MO PRESCOTT AZ ROCKVILLE MD TAMARAC FL EDINA MN CONCORD NH HOUSTON TX FORT COLLINS CO LEWISTON ID ST MARYS PA TEXARKANA TX MISSION HILLS CA BOWIE MD TOWSON MD PUEBLO CO THOMASVILLE GA BAKERSFIELD CA MYRTLE BEACH SC SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 76 ZIP 68025 18017 98274 21742 48439 72205 32953 32806 32547 02906 17601 63703 86305 20850 33321 55435 03301 77084 80525 83501 15857 75503 91345 20716 21204 81003 31792 93301 29572 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1437189354 1437191731 1437202249 1437202967 1437203684 1437205028 1437219276 1437221660 1437229135 1437237393 1437237401 1437237997 1437242211 1437250248 1437261880 1437266673 1437269800 1437274495 1437289535 1437319027 1437320017 1437325347 1437328127 1437373248 1437482924 1437487154 1447203161 1447207741 1447207857 PROVIDER NAME ADDRESS BELTSVILLE AMBULATORY SURGERY CENTER, INC. 10720 BALTIMORE AVE, EL DORADO SURGERY CENTER LP 1398 N WILMOT RD, PACMED CLINICS 1101 MADISON ST, SUITE 400 REGIONAL EYE SURGERY CENTER, INC. 1455 MONTREAL ST SE, SPALDING OUTPATIENT SURGERY CENTER 120 S SPALDING DR STE 350, CENTRAL UTAH CLINIC P C 1175 E 50 S, SUITE 101 MINEHART MEDICAL CORPORATION 16250 VENTURA BLVD STE 165, ENDOSCOPY CENTER - UNIVERSITY, LLC 101 E WT HARRIS BLVD, SUITE 3215 COUNTY LINE ENDOSCOPY & SURGICAL CENTER LLC 9226 KENNEDY BLVD, UNIT A LAUREL AMBULATORY SURGICAL CENTER 2401 BRANDERMILL BLVD, # 340 SURGERY CENTER OF LEAWOOD, LLC 11413 ASH ST STE 100, MONMOUTH SURGI CENTER INC 370 STATE HIGHWAY 35, SUITE 102 GEORGIA CENTER FOR DIGESTIVE DISEASES, LLC 501 EISENHOWER DR, GEORGIA SURGICAL CENTER ON PEACHTREE 1938 PEACHTREE ROAD, LOBBY LEVEL EMPIRE EYE PHYSICIANS P S 1414 N HOUK ROAD, SUITE 102 ENDOSCOPY CENTER OF ESSEX, L.L.C. 901 EASTERN BLVD, IREDELL SURGICAL ASSOCIATES, LLP 1720 DAVIE AVE, EYE SURGERY CENTER SAN FRANCISCO LP 1160 POST ST, BI-CITY SURGICAL CENTRE, INC. 1900 10TH AVE, SUITE 305A FLORENCE SURGERY AND LASER CENTER LLC 400 N CASHUA DR, OREGON EYE SURGERY CENTER, INC. 1550 OAK ST, TOMBALL AMBULATORY SURGERY CENTER LP 13500 MEDICAL COMPLEX DRIVE, MESA HILLS OUTPATIENT SURGICAL 651 MESSA HILLS DR, SKYLINE ENDOSCOPY CENTER, L.L.C. 27 MEDICAL CENTER DR, SUITE 2 FORT MYERS EYE SURGERY CENTER LLC 4790 BARKLEY CIR, BUILDING C UNIT 101 ASPEN MEDICAL GROUP 2635 UNIVERSITY AVE W, STE. 100 AMBULATORY SURGICAL CENTER OF STEVENS POINT LLC 500 VINCENT STREET, SUITE A ROCKFORD GASTROENTEROLOGY ASSOCIATES LTD 401 ROXBURY RD, SOUTHWEST ENDOSCOPY & SURGERY CENTER 701 E. RENDON CROWLEY RD., SMA Informatics Confidential CITY BELTSVILLE TUCSON SEATTLE HUTCHINSON BEVERLY HILLS AMERICAN FORK ENCINO CHARLOTTE NORTH BERGEN GAMBRILLS LEAWOOD RED BANK SAVANNAH ATLANTA SPOKANE BALTIMORE STATESVILLE SAN FRANCISCO COLUMBUS FLORENCE EUGENE TOMBALL EL PASO JACKSON FORT MYERS SAINT PAUL STEVENS POINT ROCKFORD BURLESON SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 77 ST ZIP MD AZ WA MN CA UT CA NC NJ MD KS NJ GA GA WA MD NC CA GA SC OR TX TX TN FL MN WI IL TX 20705 85712 98104 55350 90212 84003 91436 28262 07047 21054 66211 07701 31406 30309 99216 21221 28677 94109 31901 29501 97401 77375 79912 38301 33907 55114 54481 61107 76028 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1447212121 1447212204 1447212337 1447212535 1447212774 1447213954 1447214135 1447215850 1447218433 1447220082 1447221486 1447221684 1447223938 1447225503 1447226394 1447228689 1447231287 1447234919 1447240296 1447250667 1447251327 1447251541 1447254172 1447255435 1447258603 1447260575 1447264247 1447267554 1447269790 PROVIDER NAME ADDRESS CHRISTUS SANTA ROSA OUTPATIENT SURGERY - NEW BRAUNFELS, 1738 E COMMON LP ST, CONWAY OUTPATIENT SURGERY CENTER 1377 HWY 64 WEST, PUGET SOUND GASTROENTEROLOGY, PS 11800 NE 128TH ST, SUITE 100 REYNOLDS ROAD SURGICAL CENTER DBA WILDWOOD SURGICAL 2865 N REYNOLDS CENTER RD, SUITE 190 LOUISVILLE SC LTD 4005 DUPONT CIR, REAGAN STREET SURGERY CENTER, LLC 10904 REAGAN ST, SCOTT & WHITE CLINIC 1600 UNIVERSITY DR E, SAXON SURGICAL CENTER 430 EAST AVENIDA DE LOS ARBOLES, SUITE 101 LIBERTY EYE SURGICAL CENTER LLC 9122 BLUE GRASS RD, WESTERN PA SURGERY CENTER, WEXFORD BRANCH, LLC 6001 STONEWOOD DR, ORTHOPAEDIC OUTPATIENT SURGERY CENTER, LLC 1600 60TH ST, DRS. LISS & MIRKIN, P.A. T/A FOOT & ANKLE ASSOCIATES 10901 CONNECTICUT AVENUE, #200 CHATTANOOGA ENDOSCOPY ASC LLC 2341 MCCALLIE AVE, SUITE 303 BAPTIST DESOTO SURGERY CENTER, LP 391 SOUTHCREST CIRCLE, SUITE 100 BGC HOLDINGS INC 4800 BELFORT RD, THE FOOT SURGERY CENTER OF NORTH CAROLINA 7819 NATIONAL SERVICE RD, SUITE 404 GASTROENTEROLOGY SPECIALISTS INC 2726 FULTON DR NW, GEN GASTRO LLC 2222 53RD AVE, JAMES STREET SURGICAL SUITE 261 JAMES ST, SUITE 3E CENTRAL LOUISIANA AMBULATORY SURGICAL CENTER651 N BOLTON AVE, GREAT FALLS CLINIC SURGERY CENTER LLC 1509 29TH ST S, TUCSON MUSCULOSKELETAL LLC 2424 N WYATT DR, #160 SURGICENTER OF BALTIMORE LLP 23 CROSSROADS DRIVE, STE 100 MILE SQUARE SURGERY CENTER 10760 WARNER AVENUE, 102 SNOWDEN RIVER SURGERY CENTER LLC 6011 UNIVERSITY BLVD, SUITE 190 CENTRAL INDIANA ORTHOPEDIC SURGERY CENTER 3600 W BETHEL AVE, CARROLLTON EYE CLINIC, P.C. 158 CLINIC AVE, CEDAR SURIGCAL ASSOCIATES LC 1811 W ROYAL HUNTE DR STE 3, WEST BEND SURGERY CENTER LLC 1710 VOGT DR, SMA Informatics Confidential CITY NEW BRAUNFELS CONWAY KIRKLAND TOLEDO LOUISVILLE LOS ALAMITOS COLLEGE STATION THOUSAND OAKS PHILADELPHIA WEXFORD WEST DES MOINES KENSINGTON CHATTANOOGA SOUTHAVEN JACKSONVILLE GREENSBORO CANTAN BETTENDORF MORRISTOWN ALEXANDRIA GREAT FALLS TUCSON OWINGS MILLS FOUNTAIN VALLEY ELLICOTT CITY MUNCIE CARROLLTON CEDAR CITY WEST BEND SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 78 ST ZIP TX AR WA OH KY CA TX CA PA PA IA MD TN MS FL NC OH IA NJ LA MT AZ MD CA MD IN GA UT WI 78130 72032 98034 43615 40207 90720 77840 91360 19114 15090 50266 20895 37404 38671 32256 27409 44718 52722 07960 71301 59405 85712 21117 92708 21043 47304 30117 84720 53095 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1447271713 1447276605 1447279369 1447281795 1447285382 1447286562 1447287370 1447287818 1447293113 1447297684 1447301593 1447309018 1447319603 1447320213 1447324132 1447329990 1447341870 1447347166 1447352737 1447355243 1447361506 1447362769 1447364682 1447366224 1447378328 1447385158 1447388574 1447390448 1447415278 PROVIDER NAME COLUMBUS ORTHOPAEDIC OUTPATIENT WEST CLINIC, PC EYE CENTER OF NORTH FLORIDA P A GREEN STREET SURGERY CENTER LLC EYE SURGICAL CENTER ANWAR EYE CENTER, INC ILBNC PA BANNER THUNDERBIRD SURGICENTER WESTERN AMBULATORY SURGERY CENTER, LLC NAAB ROAD SURGERY CENTER, LLC EYEMD LASER & SURGERY CENTER TOTAL BACK CARE CENTER INC NORTHERN BALTIMORE SURGERY CENTER, LLC FREEHOLD ENDOSCOPY ASSOCIATES, LLC ENDOCENTER, LLC SEMMES MURPHEY CLINIC ROBERT P DRAKE UROLOGY SURGERY CENTER OF COLORADO LLC SAMARITAN ENDOSCOPY CENTER SURGICENTER OF GREATER MILWAUKEE, INC. HOLLAND EYE CLINIC, PC BETHLEHEM ENDOSCOPY CENTER LLC RIDGE VIEW ENDOSCOPY CENTER WEST MICHIGAN SURGERY, LLC GREENE TREE FOOT ANKLE SURGICENTER HARBIN CLINIC, LLC MACON PAIN CENTER, P.C. DOWNTOWN LA AMBULATORY SURGICAL CENTER CASTLE AMBULATORY SURGERY CENTER, LLC SMA Informatics Confidential ADDRESS 640 LEIGH DR, 100 N. HUMPHREYS, 2500 MARTIN LUTHER KING JR BLVD, 120 S GREEN ST, 1809 VERDUGO BLVD, STE 140 1500 LAFAYETTE AVE, 15700 37TH AVE N, SUITE 210 5555 - B WEST THUNDERBIRD ROAD, 1421 WILKINS CIR, 8260 NAAB RD, SUITE #100 481 30TH ST, 130 TAMIAMI TRL N, SUITE 210 110 WEST RD, STE 229 222 SCHANCK ROAD, STE 100 131-A CHEROKEE ROSE LANE, 6325 HUMPHREYS BLVD, 255 N GILBERT, BLDG B 2777 MILE HIGH STADIUM CIR, 15195 NATIONAL AVENUE, SUITE 204 3223 S 103RD ST, 999 WASHINGTON AVE, 5325 NORTH GATE DRIVE, SUITE 101 10103 RIDGEGATE PKWY, STE 312 20095 GILBERT RD, SUITE A 1838 GREENE TREE RD, SUITE 430 1825 MARTHA BERRY BLVD NW, 3356 VINEVILLE AVE, 420 E 3RD STREET SUITE #604, 642 ULUKAHIKI ST, SUITE 200 CITY COLUMBUS MEMPHIS PANAMA CITY COLUMBUS GLENDALE MOUNDSVILLE PLYMOUTH GLENDALE CASPER INDIANAPOLIS OAKLAND NAPLES TOWSON FREEHOLD COVINGTON MEMPHIS HEMET DENVER LOS GATOS MILWAUKEE HOLLAND BETHLEHEM LONE TREE BIG RAPIDS BALTIMORE ROME MACON LOS ANGELES KAILUA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 79 ST ZIP MS TN FL OH CA WV MN AZ WY IN CA FL MD NJ LA TN CA CO CA WI MI PA CO MI MD GA GA CA HI 39705 38120 32405 43222 91208 26041 55446 85306 82601 46260 94609 34102 21204 07728 70433 38120 92543 80211 95032 53227 49423 18017 80124 49307 21208 30165 31204 90013 96734 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1447430301 1447442785 1447442876 1447457403 1447458591 1447472659 1447485156 1447489695 1447491774 1457306888 1457310831 1457317398 1457320962 1457323107 1457324857 1457325573 1457329963 1457330573 1457331274 1457335077 1457345530 1457350449 1457350712 1457352361 1457354300 1457357394 1457370447 1457378333 1457379158 PROVIDER NAME ADDRESS ONE DAY SURGERY, LLC 531-B JEFFERSON TERRACE BLVD., SURGICARE SURGICAL ASSOCIATES OF WAYNE, LLC 246 HAMBURG TPKE, MAPLE SPRINGS PODIATRIC 10810 DARNESTOWN RD, #101 BERGEN GASTROENTEROLOGY PC 466 OLD HOOK RD, SUITE 1 ADVANCED PLASTIC SURGERY CENTER, L.L.C. 1615 PETROGLYPH POINT DR, BROCKTON ENDOSCOPY SURGERY CENTER 6958 BROCKTON AVE, SUITE 100 HUMBOLDT PHYSICIANS SURGERY AND LASER CENTER 3226 LLC TIMBER FALL COURT, AMBULATORY SURGERY CENTER AT VIRTUA WASHINGTON 239 HURFFVILLE TOWNSHIP, CROSSKEYS L.L.C. RD, CEDARS MINIMALLY INVASIVE SURGICAL SUITE - MORRIS 2932 PLAINS ROUTE LLC10 WEST, PMTC SURGERY CENTER, INC 8901 N 76TH ST, CAPE CORAL FL ENDOSCOPY ASC LLC 665 DEL PRADO BLVD, SANTA ROSA SURGERY CENTER LP 1111 SONOMA AVE, FOOT AND ANKLE CENTER AT THE BURKLAND MEDICAL10313 CENTER GEORGIA INC. AVE, SUITE 201 BOCA RATON OPHTHALMOLOGY ASC LLC 950 NW 13TH ST, NEWPORT COAST SURGERY CENTER 1441 AVOCADO AVE, SUITE 103 ST GEORGE ENDOSCOPY CENTER LLC 368 E RIVERSIDE DR, SUITE B SEQUOIA SURGERY CENTER, LLC 842 S. AKERS ST, MUHLENBERG SURGICAL CENTER LLC 1008 MEDICAL CENTER DR, MONTGOMERY EYE SURGERY CENTER LLC 2752 ZELDA RD, DENVER EYE SURGERY CENTER INC. 13772 DENVER WEST PKWY, BLDG#55, STE#120 SYRINGA SURGICAL CENTER, LLC 1630 23RD AVE, SUITE 901B BAPTIST AND PHYSICIANS OUTPATIENT SURGERY CENTER 499OF AZALEA NORTH DR, MS, LP NORTHWEST ORTHOPAEDIC SURGEONS, P.S. 1500 CONTINENTAL PL, PRINCE GEORGE'S AMBULATORY CARE CENTER/ENDOSCOPY 6001 LANDOVER SUITES, INC. RD, SUITE 1 SURGERY CENTER OF OCALA LLC 3241 SW 34TH ST, CHICO ENDOSCOPY CENTER 888 LAKESIDE VLG COMMONS, ORTHOPEDIC ASSOCIATES SURGERY CENTER 1111 CROMWELL AVE, BUILDING 1 BEAUMONT SURGICAL AFFILIATES, LTD 3560 COLLEGE ST, HUDSON CROSSING SURGERY CENTER, LLC 2 EXECUTIVE DR, SMA Informatics Confidential CITY NEW IBERIA WAYNE GAITHERSBURG EMERSON PRESCOTT RIVERSIDE EUREKA SEWELL MORRIS PLAINS MILWAUKEE CAPE CORAL SANTA ROSA SILVER SPRING BOCA RATON NEWPORT BEACH ST GEORGE VISALIA POWDERLY MONTGOMERY LAKEWOOD LEWISTON OXFORD MOUNT VERNON CHEVERLY OCALA CHICO ROCKY HILL BEAUMONT FORT LEE SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 80 ST ZIP LA NJ MD NJ AZ CA CA NJ NJ WI FL CA MD FL CA UT CA KY AL CO ID MS WA MD FL CA CT TX NJ 70560 07470 20878 07630 86301 92506 95503 08080 07950 53223 33990 95405 20902 33486 92660 84790 93277 42367 36106 80401 83501 38655 98273 20785 34474 95928 06067 77701 07024 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1457379364 1457385668 1457387771 1457395493 1457397945 1457399362 1457420135 1457428005 1457433658 1457448912 1457451445 1457460248 1457465338 1457490872 1457502239 1457524282 1457538639 1457541468 1457545980 1457551533 1457552846 1457593980 1457682064 1467405837 1467407833 1467415513 1467415950 1467429233 1467442657 PROVIDER NAME ADDRESS CITY ST JONESBORO SURGERY CENTER, LLC 623 E MATTHEWS AVE, SUITE C JONESBORO AR RAVINE WAY SURGERY CENTER, LLC 2350 RAVINE WAY, STE. 500 GLENVIEW IL FOOT & ANKLE SURGERY CENTER 2751 WARM SPRINGS RD, STE C COLUMBUS GA HIGHLAND CLINIC SURGERY CENTER, LLC HIGHLAND CLINIC SURGERY CENTER, LLC, 1455 E. BERT SHREVEPORT KOUNS, SUITE #101 LA MANOA DIAGNOSTIC CENTER 1010 WEST CHESTER PIKE, SUITE 101 HAVERTOWN PA LEBANON HMA SURGERY CENTER INC 1414 W BADDOUR PKWY, LEBANON TN CATARACT & LASER INSTITUTE P A 101 PROSPECT ST, STE 102 LAKEWOOD NJ FLEMING ISLAND SURGERY CENTER 1670 EAGLE HARBOR PKWY, SUITE B ORANGE PARK FL PIONEER PEAK SURGERY CENTER, LLC 3035 PALMER WASILLA HWY, SUITE 301 WASILLA AK GLADIOLUS SURGERY CENTER , LLC 7431 GLADIOLUS SURGERY CENTER, FORT MYERS FL TAMPA BAY SURGERY CENTER ASSOCIATES LTD 11811 N DALE MABRY HWY, TAMPA FL OSC LIMITED PARTNERSHIP 8051 W CENTER RD, OMAHA NE METROPOLITAN AMBULATORY UROLOGIC INSTITUTE, L.L.C. 7759 BELLE POINT DR, GREENBELT MD HSC SURGICAL ASSOCIATES 2990 MACK RD, SUITE 203 FAIRFIELD OH APOLLO SURGERY CENTER LLC 375 S WICKHAM RD, WEST MELBOURNE FL BLUE BELL SURGERY CENTER, LLC 518 EAST TOWNSHIP LINE RD, SUITE 120 BLUE BELL PA SURGICENTER OF VINELAND 251 S LINCOLN AVE, VINELAND NJ SOUTH EAST ALASKA REGIONAL HEALTH CONSORTIUM222 TONGASS DR, SITKA AK SAND LAKE SURGERY CENTER, LP 7477 SAND LAKE COMMONS BLVD, ORLANDO FL MOORE ORTHOPAEDIC CLINIC OUTPATIENT SURGERY CENTER, 104 SALUDA LLC POINTE DR, SUITE 200 LEXINGTON SC CHESTERFIELD SPINE CENTER, LLC 1130 TOWN AND COUNTRY COMMONS, TOWN AND COUNTRYMO SUTTER MEDICAL FOUNDATION 460 PLUMAS BLVD, SUITE 202 YUBA CITY CA PIEDMONT HEALTHCARE, PA 208 OLD MOCKSVILLE RD, STATESVILLE NC PARKCREEK SURGERY CENTER LLLP 6806 N STATE ROAD 7, COCONUT CREEK FL ALBANY REGIONAL EYE SURGERY CENTER, LLC 5 JOHNSON RD, LATHAM NY LAS VEGAS SURGICARE LTD 870 S RANCHO DR, LAS VEGAS NV OUTPATIENT SURGERY CENTER OF LAKEWOOD LP 2201 WADSWORTH BLVD, LAKEWOOD CO JUSTICE MED-SURG CENTER 9050 W 81ST ST, JUSTICE IL HOLY REDEEMER AMBULATORY SURGERY CENTER, LLC821 HUNTINGDON PIKE, SUITE 100 HUNTINGDON VALLEYPA SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 81 ZIP 72401 60025 31904 71105 19083 37087 08701 32003 99654 33908 33618 68124 20770 45014 32904 19422 08361 99835 32819 29072 63017 95991 28625 33073 12110 89106 80214 60458 19006 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1467451096 1467456442 1467458281 1467458513 1467459214 1467466383 1467470930 1467472688 1467474585 1467478818 1467484956 1467489732 1467490433 1467491407 1467499293 1467506907 1467511899 1467515015 1467535518 1467535773 1467537951 1467544684 1467557678 1467559625 1467569376 1467572115 1467578393 1467580019 1467582437 PROVIDER NAME ADDRESS SOUTH PLACER SURGERY CENTER L P 8723 SIERRA COLLEGE BLVD., PROFESSIONAL EYE ASSOCIATES, INC. 1111 PROFESSIONAL BLVD, EYE CARE AND SURGERY CENTER OF FT. LAUDERDALE, 2540 LLC NE 9TH ST, METROPLEX SURGICARE PARTNERS, LTD. 1600 CENTRAL DRIVE, SUITE 180 PACIFIC AMBULATORY SURGERY CENTER 707 S GARFIELD AVE, CENTRAL OKLAHOMA AMBULATORY SURGICAL CENTER, 3301 INC.NW 63RD ST, THE 33RD STREET SURGERY CENTER 200 E 33RD ST, SUITE 631 WEST CLINIC ASTC 100 N HUMPHREYS BLVD, NORTH SHORE ENDOSCOPY CENTER, INC. 850 COLUMBIA RD, SUITE 200 ENDOSCOPY CENTER OF SANTA ROSA 1200 SONOMA AVE, SUITE 2 EAST PORTLAND SURGICAL CENTER LLC 9200 SE 91ST AVE, SUITE 100 GREATER CINCINNATI SURGICAL ASSOCIATES LLC 10615 MONTGOMERY RD, STE 300 UROLOGY SURGICAL CENTER LLC 5500 PINE LAKE RD, DEARBORN SURGERY CENTER, LLC 18100 OAKWOOD BLVD, SUITE 100 ST CLOUD MN OPHTHALMOLOGY ASC LLC 2055 15TH ST N, SUITE B SPENCER EYE SURGERY AND LASER CENTER 2486 N PONDEROSA DR, SUITE D110 MERCY TERRACE HILL SURGERY CENTER, LLC 450 LAUREL ST, SUITE D SURGERY CENTER OF SILVERDALE 9800 LEVIN RD NW # 102, ROXSAN SURGERY CENTER, LLC 465 N ROXBURY DR, #802 AMBULATORY ENDOSCOPIC SURGERY CENTER 301 OXFORD VALLEY RD, SUITE 804 BELLINGHAM UROLOGY SPECIALISTS PLLC 340 BIRCHWOOD AVE, TOWNE CENTRE SURGERY CENTER 4599 TOWNE CENTRE ROAD, BEAN CENTER FOR FOOT SURGERY 1801 N CARSON ST, WINCHESTER EYE SURGERY CENTER, LLC 525 AMHERST ST, STATESBORO AMBUL SURG CTR INC 95 BEL AIR DRIVE, AESTHETIC SURGERY & LASER MEDICAL CENTER 23861 MCBEAN PARKWAY, E21 OLYMPIC PLASTIC SURGERY SUITE 2600 CHERRY AVENUE, SUITE 201 MIDWEST SURGERY CENTER INC 10784 V ST, NORTH FLORIDA SURGERY CENTER INC 256 SW PROFESSIONAL GLN, SUITE 101 SMA Informatics Confidential CITY GRANITE BAY DALTON FORT LAUDERDALE BEDFORD ALHAMBRA OKLAHOMA CITY BALTIMORE MEMPHIS WESTLAKE SANTA ROSA PORTLAND CINCINNATI LINCOLN DEARBORN SAINT CLOUD CAMARILLO DES MOINES SILVERDALE BEVERLY HILLS YARDLEY BELLINGHAM SAGINAW CARSON CITY WINCHESTER STATESBORO VALENCIA BREMERTON OMAHA LAKE CITY SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 82 ST ZIP CA GA FL TX CA OK MD TN OH CA OR OH NE MI MN CA IA WA CA PA WA MI NV VA GA CA WA NE FL 95746 30720 33304 76022 91801 73116 21218 38120 44145 95405 97266 45242 68516 48124 56303 93010 50314 98383 90210 19067 98225 48604 89701 22601 30461 91355 98310 68127 32025 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1467601625 1467629147 1467637116 1467664268 1467783233 1467786889 1467788729 1477500767 1477502979 1477503175 1477507168 1477508463 1477513737 1477513844 1477514032 1477516532 1477516961 1477516979 1477519130 1477519262 1477524577 1477525715 1477526143 1477526689 1477527398 1477542520 1477546687 1477551745 1477558641 PROVIDER NAME MNH GI SURGICAL CENTER LLC PACIFIC CATARACT AND LASER INSTITUTE INC PC INLAND NORTHWEST SURGERY CENTER LLC AZALEA SURGERY CENTER SOUTH SOUND SURGERY, PLLC ENVISION SURGERY CENTER LLC WATERFORD SURGICAL CENTER, LLC SOUTHPOINT SURGERY CENTER, LLC M.M. 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Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 87 ZIP 33317 92691 60559 63131 60044 32250 75093 86403 45424 32757 91205 80501 44060 96001 83301 92395 08619 92691 37403 47150 19713 30260 37920 59101 77584 81230 46032 90404 91505 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1497791040 1497791503 1497792360 1497801237 1497810428 1497828180 1497831523 1497834931 1497850648 1497851893 1497859540 1497869267 1497870505 1497884308 1497895361 1497895676 1497919708 1497925994 1497942460 1497949705 1497951164 1497996524 1508034380 1508040486 1508041666 1508063884 1508068800 1508197039 1508804451 PROVIDER NAME ADDRESS CITY ST CANYON PINOLE SURGERY CENTER, LP 1700 SAN PABLO AVE, STE. 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Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 89 ST ZIP NY MD MO OH CA FL MD PR TX AK TX DE SC IL TN CA DE MS LA WI FL OK CO UT MO NY GA NY CA 10075 21204 64804 45631 93940 34209 21146 00680 77504 99508 77008 19713 29572 60453 37934 95382 19713 39232 70072 53226 34205 74133 80210 84770 64506 14226 31406 14845 93720 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1508871211 1508879446 1508887704 1508896705 1508907437 1508911728 1508912262 1508922865 1508933797 1508934373 1508942665 1508942996 1508965401 1508972118 1508974353 1508978990 1508986621 1518002633 1518003516 1518004050 1518004696 1518007608 1518009430 1518021039 1518022615 1518034354 1518035427 1518037811 1518045319 PROVIDER NAME ADDRESS TEXAS DIGESTIVE DISEASE CENTER, LTD 701 TUSCAN, # 100 WEST FLORIDA SURGERY CENTER INC 5817 21 AV W, AMBULATORY ANKLE AND FOOT CENTER OF FLORIDA 1509 S ORANGE AVE, TIFTAREA ENDOSCOPY CENTER, INC. 907 E. 18TH STREET, SUITE 460 BEST IMPRESSION SURGICAL CENTER, LLC 1330 POWELL ST, SUITE 402 MINIMALLY INVASIVE SURGICAL & NEUROSCIENCE LLC774 CHRISTIANA RD, SUITE 2 WAUKEGAN ILLINOIS HOSPITAL COMPANY LLC 1050 RED OAK LN, INSTITUTE FOR SPINAL PAIN TREATMENT 1 LINCOLN PARKWAY, SUITE 106 HEAD AND NECK SURGERY CENTER, LLC 107 MILLSAPS DR, CENTERS FOR PAIN SOLUTIONS,LLC 280 MAIN STREET, SUITE 420 THE ENDOSCOPY CENTER AT GATEWAY LLC 490 NORTHAMPTON STREET, PHYSICIANS SURGERY SERVICES LP 235 OCONNOR DR, MILLENNIUM SURGERY CENTER INC 9300 STOCKDALE HWY, SUITE 200 STONY POINT SURGERY CENTER, L.L.C, 8700 STONY POINT PKWY, SUITE 100 SOUTHLAKE AMBULATORY SURGERY CENTER 7813 SPIVEY STATION BLVD, SUITE 100 WOODBRIDGE CENTER LLC 7901 ANGLING RD, ASHLAND SURGERY CENTER 658 N MAIN STREET, ASSOCIATED ARTHROSCOPY INSTITUTE 4031 W PLANO PKWY STE 100, NORTH IDAHO CATARACT & LASER CTR 1814 LINCOLN WAY, SOUTH CENTRAL SURGERY CENTER LLC 5002 E STATE ROAD 44, CENTURY CITY ENDOSCOPY, LLC 2080 CENTURY PARK E, STE. 1200 ROXBURY SURGERY CENTER 450 N ROXBURY DR FL 5, WELLBROOK ENDOSCOPY CENTER 1269 WELLBROOK CIR NE, HUDSON TERRACE MEDICAL, INC 464 HUDSON TER, SUITE #102 FUTURES OUTPATIENT SURGICAL CENTER 1849 NW KEARNEY ST STE 302, NORTH COAST ENDOSCOPY INC 9500 MENTOR AVE, SUITE 380 SAWRAJ SINGH 700 E MOUNTAIN VIEW AVE, SUITE 502 GERMANTOWN AMBULATORY SURGICAL CENTER, LLC 7499 POPLAR PIKE, ATHENA UROLOGY SURGERY CENTER LLC 1500 OGLETHORPE AVE, SUITE 2000 SMA Informatics Confidential CITY ST IRVING TX BRADENTON FL ORLANDO FL TIFTON GA NORRISTOWN PA NEWARK DE LINDENHURST IL HATTIESBURG MS HATTIESBURG MS NASHUA NH EDWARDSVILLE PA SAN JOSE CA BAKERSFIELD CA RICHMOND VA JONESBORO GA PORTAGE MI ASHLAND OR PLANO TX COEUR D ALENE ID FRANKLIN IN LOS ANGELES CA BEVERLY HILLS CA CONYERS GA ENGLEWOOD CLIFFS NJ PORTLAND OR MENTOR OH ELLENSBURG WA GERMANTOWN TN ATHENS GA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 90 ZIP 75039 34209 32806 31794 19401 19713 60046 39402 39402 03060 18704 95128 93311 23235 30236 49024 97520 75093 83814 46131 90067 90210 30012 07632 97209 44060 98926 38138 30606 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1518052380 1518057546 1518063338 1518070879 1518078369 1518090406 1518106582 1518107937 1518108968 1518112275 1518129576 1518133321 1518149954 1518154517 1518155811 1518162445 1518290998 1518916758 1518920040 1518922541 1518930866 1518943679 1518947589 1518950716 1518954809 1518955897 1518957729 1518957851 1518967082 PROVIDER NAME ADDRESS CUKROWSKI SURGERY CENTER 701 S BALLENGER HWY, LONG ISLAND AMBULATORY SURGERY CENTER 601 SUFFOLK AVE, THE CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY, 3320 P.C.OLD JEFFERSON RD., BUILDING 100 EHLERS EYE SURGERY LLC 3403 POWERHOUSE RD, PRECISION SURGICAL CENTER 620 CRANBURY ROAD, SUITE 115 HOTCHKISS AMBULATORY SURGICAL CENTER 12070 OLD LINE CTR, SUITE 110 LIBBIT SURGICAL CENTER LLC 16260 VENTURA BLVD, SUITE 302 ALICIA SURGERY CENTER 25211 PASEO DE ALICIA, SUITE 100 JERSEY AMBULATORY SURGICAL CENTER, LLC 561 CRANBURY RD, WARMINSTER SURGICAL CENTER, LP 205 NEWTOWN RD, SUITE 111 USC AMBULATORY SURGICAL CENTER PROF LLC 201 WEST 69TH STREET, GREENBRAE SURGERY CENTER 575 SIR FRANCIS DRAKE BLVD STE 3, NEUROLOGICAL INSTITUTE AMBULATORY SURGICAL CENTER, 1 E JACKSON LLC BLVD, SUMMIT AMBULATORY SURGICAL CENTER, LLC 3333 N CALVERT ST, SUITE 600 THE ALTAMONTE SPRINGS FL ENDOSCOPY ASC LLC 623 MAITLAND AVE, SUITE 1100 SOUTHERN EYE ASSOCIATES, PA 2801 BLUE RIDGE RD STE 200, EYE SPECIALISTS SURGERY CENTERS, LLC 711 W GARDNER DR, MOUNTAIN LAUREL SURGERY CENTER L.L.C. 1860 FAIR AVE STE B, COUNTRYSIDE SURGERY CENTER, LTD 3291 N MCMULLEN BOOTH RD, THE VISION SURGICAL CENTER AT SPRINGHILL PSC 302 W 14TH ST, SUITE 100B ENDOSCOPY CENTER OF PENNSYLVANIA INC 310 ELECTRIC AVE, SUITE 150 DALLAS ENDOSCOPY CENTER, LTD 5327 N CENTRAL EXPY, STE 200 GEM CITY BONE & JOINT PC 1909 VISTA DR, THE GREENWOOD ENDOSCOPY CENTER INC 103 LINER DR, THE ORTHOPEDIC INSTITUTE OF MIDLAND, L.P. 5609 DEAUVILLE, BONITA COMMUNITY HEALTH CENTER INC 3501 HEALTH CENTER BLVD, NORTHWEST MICHIGAN SURGERY CENTER LLC 4100 PARK FOREST DRIVE, SURGICENTER OF RACINE LTD 5802 WASHINGTON AVE, STE 204 NOVAMED SURGERY CENTER OF OAK LAWN, LLC 6309 W 95TH ST, SMA Informatics Confidential CITY ST FLINT MI BRENTWOOD NY ATHENS GA YAKIMA WA EAST BRUNSWICK NJ WALDORF MD ENCINO CA LAGUNA HILLS CA EAST BRUNSWICK NJ WARMINSTER PA SIOUX FALLS SD GREENBRAE CA SAVANNAH GA BALTIMORE MD ALTAMONTE SPRINGSFL RALEIGH NC MARION IN HONESDALE PA CLEARWATER FL JEFFERSONVILLE IN LEWISTOWN PA DALLAS TX LARAMIE WY GREENWOOD SC MIDLAND TX BONITA SPRINGS FL TRAVERSE CITY MI RACINE WI OAK LAWN IL SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 91 ZIP 48532 11717 30607 98902 08816 20602 91436 92653 08816 18974 57108 94904 31405 21218 32701 27607 46952 18431 33761 47130 17044 75205 82070 29646 79706 34135 49684 53406 60453 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1518969773 1518970771 1518972322 1518976661 1518984301 1518995513 1518997774 1518998764 1528000155 1528000817 1528003332 1528004330 1528009453 1528010360 1528012978 1528016656 1528016789 1528021573 1528024114 1528024171 1528026788 1528027026 1528032711 1528035367 1528039567 1528047040 1528049855 1528053311 1528060704 PROVIDER NAME ADDRESS CITY ARIZONA SKIN CANCER SURGERY CENTER, P.C. 5980 N LA CHOLLA BLVD, TUCSON SANTA CRUZ ENDOSCOPY CENTER LP 1505 SOQUEL DRIVE, SUITE 4 SANTA CRUZ CASA COLINA SURGERY CENTER 255 E BONITA AVE, BUILDING 3 B POMONA ATLANTIC SURGERY CENTER 541 HEALTH BLVD, DAYTONA BEACH ENDOSCOPY CENTER OF INLAND EMPIRE 40404 CALIFORNIA OAKS RD STE A, MURRIETA EAST METRO ENDOSCOPY CENTER LLC 1997 SLOAN PLACE, ST PAUL AVONDALE SURGICAL PARTNERS 10815 W MCDOWELL RD, SUITE 101 AVONDALE TENNESSEE PAIN SURGERY CENTER, LLC 5811 CROSSINGS BLVD, ANTIOCH SOUND UROLOGICAL ASSOCIATES 21822 76TH AVE W, EDMONDS SOUTHWESTERN EYE CENTER 10615 W THUNDERBIRD BLVD, BLDG A-100 SUN CITY SPANISH HILLS SURGERY CENTER, LLC 261 MOBIL AVE, CAMARILLO COMPREHENSIVE PAIN MANAGEMENT CENTER 15200 SHADY GROVE RD, SUITE 302A ROCKVILLE TGLP, LP 1920 MOORES LN, SUITE B TEXARKANA UNIVERSITY SUBURBAN HEALTH CENTER 1611 SOUTH GREEN ROAD, SUITE 124 SOUTH EUCLID NORTHERN CALIFORNIA SURGERY CENTER 3850 GEER RD, TURLOCK VANTAGE SURGICAL ASSOCIATES, LLC 180 ROUTE 70, MEDFORD HAMILTON SURGERY CENTER L.L.C. 1445 WHITEHORSE MERCERVILLE ROAD, SUITE 101HAMILTON SUMMIT SURGERY CENTER LP 3901 CENTRAL PIKE, SUITE 152 HERMITAGE AMBULATORY CARE CENTER, PA 1133 E CHESTNUT AVE, BUILDING1 VINELAND BLACKSTONE VALLEY SURGICARE ACQUISITION LP 1526 ATWOOD AVE, SUITE 300 JOHNSTON LAKESIDE AMBULATORY SURGICAL CENTER LLC 17030 LAKESIDE HILLS PLZ, SUITE 206 OMAHA VIRGINIA BEACH AMBULATORY SURGERY CENTER 1700 WILL O WISP DR, VIRGINIA BEACH COLUMBIA ENDOSCOPY CENTER, LLC 208 PORTLAND ST, COLUMBIA EYE SURGERY CENTER OF WESTERN OHIO 855 W MARKET ST, STE A LIMA JOON H PARK MD PC 5014 VILLA LINDE PKWY, FLINT ENDOSCOPY CENTER OF KNOXVILLE LP 801 N WEISGARBER RD, SUITE 100 KNOXVILLE CENTER FOR AESTHETIC AND RECONSTRUCTIVE EYELID3705 AND MEDICAL ORBITAL SURGERY PKWY, SUITE 120 AUSTIN AMERICAN ENDOSCOPY CENTER, P.C. 1308 BRIARVILLE RD, MADISON CMMP SURGICAL CENTER LLC 1705 CHRISTY DR, STE 100 JEFFERSON CITY SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 92 ST ZIP AZ CA CA FL CA MN AZ TN WA AZ CA MD TX OH CA NJ NJ TN NJ RI NE VA MO OH MI TN TX TN MO 85741 95065 91767 32114 92562 55117 85323 37013 98026 85351 93010 20850 75503 44121 95382 08055 08619 37076 08360 02919 68130 23454 65201 45805 48532 37909 78705 37115 65101 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1528061918 1528064854 1528067444 1528067758 1528069218 1528077658 1528080876 1528083110 1528084431 1528091360 1528099207 1528104080 1528119252 1528121316 1528128014 1528130879 1528134293 1528142726 1528143922 1528145778 1528153111 1528160645 1528166113 1528176765 1528179603 1528190295 1528196888 1528210770 1528219474 PROVIDER NAME ADDRESS CATARACT SPECIALTY SURGICAL CENTER, LLC 28747 WOODWARD AVE, EYE SURGERY CENTER OF NEVADA 3839 N CARSON ST, SETH ALAN LEVIN M.D. 277 QUASSAICK AVE, RT. 94 SOUTH EUGENE SURGI-CENTER, LLC 675 E 19TH AVE, NORTHSHORE REGIONAL MEDICAL CENTER DBA THE SURGERY 103 MEDICAL SUITE`CENTER DR, PRINCE WILLIAM AMBULATORY SURGERY CENTER, LLC8644 SUDLEY RD, SUITE 201 FRY EYE SURGERY CENTER LLC 411 CAMPUS DR, WISCONSIN HEALTH CENTER LLC 4448 W LOOMIS RD, STE LL20 CG ENDOSCOPY CENTER LTD 3722 DRESSLER RD NW, GLEC PLLC 3903 HOLLYWOOD RD, DEER CREEK SURGERY CENTER, LLC 7220 W 129TH STREET, SURGICAL CENTER AT CEDAR KNOLLS LLC 197 RIDGEDALE AVE, SAMSON PAIN CENTER 120 STONEBRIDGE PKWY, SUITE 420 SAINT LUKES SOUTH SURGERY CENTER LLC 12541 FOSTER, SUITE 120 SOMERSET SURGICAL CENTER 1081 US HIGHWAY 22 STE 100, PACIFIC SURGICAL INSTITUTE OF PAIN MANAGEMENT 3703 CAMINO DEL RIO SOUTH, SUITE 101 MARYLAND AESTHETIC & RECONSTRUCTIVE ASC 8415 BELLONA LN, SUITE 212 GENORTHO, LLC 2300 53RD AVE, SUITE 200 MIDLANDS ENDOSCOPY CENTER LLC 1 WELLNESS BLVD, SUITE 111 OVERLAKE AMBULATORY SURGERY CENTER 1135 116TH AVE NE, 300 MECHANICSVILLE AMBULATORY SURGICAL 28227 THREE NOTCH ROAD, DR OSH & ASSOCOATES PC 940 PIO NONO AVE, SOUTHERN BONE & JOINT ASC LLC 1755 HIGHWAY 34 E, SUITE 1100 BAY AREA PHYSICIANS SURGERY CENTER 6043 WINTHROP COMMERCE AVE, ADVANCED CARE MANAGEMENT, INC. 2838 MARIPOSA ST, COLORADO SPRINGS HEALTH PARTNERS, PC 209 S NEVADA AVE, NORTHWEST PLAZA ASC LLC 2311 LAKE PARK DR, SOUTH COUNTY OUTPATIENT ENDOSCOPY SERVICES, LP 5139 MATTIS RD, SUITE 100 CLARKSTON ASC PARTNERS LLC 5701 BOW POINTE DR, SUITE 145 SMA Informatics Confidential CITY ST BERKLEY MI CARSON CITY NV NEW WINDSOR NY EUGENE OR SLIDELL LA MANASSAS VA GARDEN CITY KS GREENFIELD WI CANTON OH SAINT JOSEPH MI OVERLAND PARK KS CEDAR KNOLLS NJ WOODSTOCK GA OVERLAND PARK KS BRIDGEWATER NJ SAN DIEGO CA TOWSON MD BETTENDORF IA IRMO SC BELLEVUE WA MECHANICSVILLE MD MACON GA NEWNAN GA RIVERVIEW FL FRESNO CA COLORADO SPRINGS CO ALBANY GA SAINT LOUIS MO CLARKSTON MI SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 93 ZIP 48072 89706 12553 97401 70461 20110 67846 53220 44718 49085 66213 07927 30189 66213 08807 92108 21204 52722 29063 98004 20659 31204 30265 33578 93721 80903 31707 63128 48346 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1528253523 1528261195 1528274719 1528284767 1528292968 1538100649 1538101373 1538104724 1538109384 1538110713 1538112750 1538113238 1538113501 1538116439 1538116637 1538117841 1538119185 1538122072 1538122569 1538122684 1538122957 1538124128 1538124490 1538125232 1538125422 1538126065 1538126362 1538128038 1538131131 PROVIDER NAME ADDRESS MESQUITE TX ENDOSCOPY ASC LLC 2704 N GALLOWAY AVE, SUITE 102 ORCHARD CREEK SURGERY CENTER 525 SOUTH DR STE 115, LASER VISION SURGERY CENTER LLC 178 HARTFORD RD, MESA SURGICAL CENTER, LLC 1114 SOUTH HIGLEY ROAD, SUITE 101 PREMIER PODIATRIC SURGERY CENTER, INC 320 ABINGTON DR, RIVERWOODS SURGERY CENTER 320 WEST RIVER PARK DRIVE, SUITE 125 DANVILLE POLYCLINIC, LTD 707 N LOGAN AVE, FORT WORTH ENDOSCOPY CENTER GENERAL PARTNERSHIP 6445 HARRIS PKWY STE 150, PLASTIC SURGERY SPECIALISTS, PC 2448 HOLLY AVE., SUITE 400 CENTER FOR DIGESTIVE HEALTH LLC 589 GARFIELD ST, TOWER DAY SURGERY, INC 1044 SW 44TH ST, SUITE 100 ADVANCED LASER & SURGICENTER OF AZ 3303 E BASELINE RD, #104 PACIFIC GYNECOLOGY SPECIALISTS, PC 1101 MADISON ST, GREENBELT ENDOSCOPY CENTER 9821 GREENBELT RD, SUITE 103 BUCKS COUNTY GI ENDOSCOPIC SURGICAL CENTER LLC1339 WOODBOURNE RD, SHELBY BAPTIST AMBULATORY SURGERY CENTER, LLC 1010 1ST ST N, SPECIALITY SURGERY OF OCALA LLC 3201 SW 34TH ST, GREATER NEW BEDFORD SURGICENTER 51 STATE RD, CENTENNIAL SURGERY CENTER LP 345 23RD AVE N, SUITE 201 KISSIMMEE SURGICARE LTD 2275 N CENTRAL AVE, SURGERY CENTER OF CINCINNATI, LLC 4415 AICHOLTZ RD, TRIDENT EYE SURGERY CENTER, LP 9297 MEDICAL PLAZA DR, CITRUS REGIONAL SURGERY CENTER LP 110 N LECANTO HWY, ASHLAND MEDICAL SERVICES 2111 CLAREMONT AVE, BAKERSFIELD PHYSICIANS PLAZA SURGICAL CENTER LP 6000 PHYSICIANS BLVD, BARNET DULANEY SURGERY CENTERS, PLLC 4800 N 22ND ST, WINTERHAVEN AMBULATORY SURGICAL CENTER 325 AVE B NW, WEST CHESTER ENDOSCOPY LLC 915 OLD FERN HILL RD, BLDG B STE 300 MINNEAPOLIS OPHTHALMOLOGY ASC LLC 8401 GOLDEN VALLEY RD, SUITE 340 SMA Informatics Confidential CITY ST MESQUITE TX MOUNTAIN VIEW CA MANCHESTER CT MESA AZ WYOMISSING PA PROVO UT DANVILLE IL FORT WORTH TX ANNAPOLIS MD TUPELO MS OKLAHOMA CITY OK GILBERT AZ SEATTLE WA LANHAM MD LEVITTOWN PA ALABASTER AL OCALA FL NORTH DARTMOUTHMA NASHVILLE TN KISSIMMEE FL CINCINNATI OH CHARLESTON SC LECANTO FL ASHLAND OH BAKERSFIELD CA PHOENIX AZ WINTERHAVEN FL WEST CHESTER PA GOLDEN VALLEY MN SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 94 ZIP 75150 94040 06040 85206 19610 84601 61832 76132 21401 38801 73109 85234 98104 20706 19057 35007 34473 02747 37203 34741 45245 29406 34461 44805 93301 85016 33881 19380 55427 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1538139001 1538139811 1538146931 1538153887 1538153994 1538157037 1538159397 1538159728 1538164504 1538164546 1538166012 1538166053 1538167176 1538167978 1538168471 1538170899 1538171889 1538178256 1538195169 1538199799 1538231956 1538240866 1538242649 1538246251 1538254826 1538260534 1538262118 1538276688 1538280284 PROVIDER NAME ADDRESS CASCO BAY ENDOSCOPY 25 LONG CREEK DR, SAINT THOMAS OUTPATIENT NEUROSURGICAL CENTER4230 HARDING RD, SUITE 901 WILLAMETTE SURGERY CENTER PC 1445 STATE ST, KANSAS ENDOSCOPY LLC 848 N SAINT FRANCIS ST, SUITE 2901 SOUTH FLORIDA CENTER FOR ENDOSCOPY & DIGESTIVE7875 DISEASE SW 104TH LLC ST, STE 201 WEST CENTRAL SURGICAL CENTER 7055 W CENTRAL AVE, MAGNOLIA SURGERY CENTER LIMITED PARTNERSHIP 14571 MAGNOLIA ST, SUITE 107 TENAYA SURGICAL CENTER, LLC 2800 N TENAYA WAY, SUITE 101 NWTSC,LLC 1722 E REELFOOT AVE, STE 1 SURGERY CENTER AT PELHAM, LLC 2755 S HIGHWAY 14, CLAYTON OUTPATIENT SURGICAL CENTER 6911 TARA BLVD, SUITE 104 SOUTHERN OB GYN AMBULATORY SURGERY CENTER, INC 341 CONNELL RD, SOUTHWEST OHIO AMBULATORY SURGERY CENTER, LTD 295 N BREIEL BLVD, VALLEY SURGICAL CENTER 2323 SUNSET BLVD, ATLANTA CENTER FOR RECONSTRUCTIVE FOOT & ANKLE 218 SURGERY, SANDY SPRINGS LLC PL NE, DIGESTIVE HEALTH CLINIC LLC 6259 W EMERALD ST, EASTWIND SURGICAL, LLC 955 EASTWIND DRIVE, SUITE #150 MED-LASER SURGICAL CENTER 2445 W WHITTIER BLVD, SUITE #100 CENTER FOR SPECIAL SURGERY LLC 8805 N MERIDIAN ST, MIDDLESEX SURGERY CENTER LLC 1921 OAK TREE RD, COASTAL MEDICAL CENTER LLC 1 S SCHOOL AVE, SUITE 103 GOLDEN GATE ENDOSCOPY CENTER 3370 GEARY BLVD, SOUTHWESTERN ENDOSCOPY CENTER, LLC 300 SPRING CREEK LANE, UROLOGY ASSOCIATES SURGICAL CTR 300 TOWER RD, SUITE 150 OCEAN SURGERY CENTER LLC 501 LAKEHURST RD, NORTHWEST AMBULATORY SURGERY CENTER LLC 1920 100TH ST SE, A1 MERCURY SURGERY CENTER LLC 901 HEARTLAND DRIVE, SUITE 1820 MELVILLE SURGERY CENTER 1895 WALT WHITMAN RD, PHYSICIANS SURGERY CENTER OF MODESTO 609 E ORANGEBURG AVE # B, SMA Informatics Confidential CITY SOUTH PORTLAND NASHVILLE SALEM WICHITA MIAMI TOLEDO WESTMINSTER LAS VEGAS UNION CITY GREER JONESBORO VALDOSTA MIDDLETOWN STEUBENVILLE ATLANTA BOISE WESTERVILLE MONTEBELLO INDIANAPOLIS EDISON SARASOTA SAN FRANCISCO UNIONTOWN MARIETTA TOMS RIVER EVERETT ST JOSEPH MELVILLE MODESTO SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 95 ST ZIP ME TN OR KS FL OH CA NV TN SC GA GA OH OH GA ID OH CA IN NJ FL CA PA GA NJ WA MO NY CA 04106 37205 97301 67214 33156 43617 92683 89128 38261 29650 30236 31602 45042 43952 30328 83704 43081 90640 46260 08820 34237 94118 15401 30060 08755 98208 64506 11747 95350 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1538293360 1538316278 1538336219 1538342092 1538345327 1538349162 1538362223 1538386743 1538389812 1538390539 1538391289 1538491220 1548203888 1548206493 1548213077 1548216914 1548217128 1548219397 1548223068 1548223654 1548224041 1548226442 1548233794 1548235120 1548235963 1548238140 1548241623 1548249675 1548250335 PROVIDER NAME ADDRESS PENINSULA PROCEDURE CENTER, LP 369 MAIN STREET, SUITE 100 PHYSICIANS' SURGERY CENTER OF DOWNEY, INC. 8200 FIRESTONE BLVD, PACIFIC CATARACT AND LASER INSTITUTE INC PC 3900 KERN WAY, MIDDLETOWN SURGERY CENTER, LLC 5950 INNOVATION DR., UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN7979 ANTONIO WURZBACH RD, ADVANCED SURGICAL PARTNERS, INC. 720 PAULARINO AVE, SUITE 100 CARSON-DOUGLAS AMBULATORY SURGERY CENTER,LLC 973 MICA DR, HOWARD S BARNEBEY 1920 116TH AVE NE, IRONBOUND ENDOSURGICAL CENTER, INC 24-28 MERCHANT STREET, SUMMIT AMBULATORY SURGICAL CENTER, LLC 201 PLUMTREE RD, SUITE 200 THE MENKES SURGERY CENTER 2490 HOSPITAL DR, SUITE 201 STILLWATER MEDICAL CENTER AUTHORITY 5200 W 6TH AVE, NORTH VALLEY ORTHOPEDIC SURGERY CENTER LLC 2262 E. ROSE GARDEN LANE, NORTHERN CRESCENT ENDOSCOPY SUITE, LLC 5671 PEACHTREE DUNWOODY RD NE, SUITE 680 PACIFIC CATARACT AND LASER INSTITUTE OF ALASKA INC 1600 PCA ST, SUITE 200 UPPER CUMBERLAND PHYSICIANS SURGERY CENTER LLC 467 N WHITNEY AVE, GULFSHORE ENDOSCOPY 1084 GOODLETTE RD N, MINNESOTA ORTHOPAEDIC SURGERY CENTER 8290 UNIVERSITY AVE NE, SUITE 100 COLUMBIA SURGICARE OF AUGUSTA, LTD 915 RUSSELL ST, SPARTAN HEALTH SURGICENTER 100 STOOPS DRIVE, GROUND FLOOR ST. AUGUSTINE SURGERY CENTER 180 SOUTHPARK BLVD, ARTHROSCOPIC & LASER SURGERY CENTER OF SAN DIEGO 5471LPKEARNY VILLA RD, SUITE 100 METAIRIE OPHTHALMOLOGY ASC LLC 3900 VETERANS MEMORIAL BLVD, SUITE 100 HEARTLAND SURGERY CENTER 520 S SANTA FE AVE, SUITE 200A THE SCRANTON PA ENDOSCOPY ASC LP 517 ASH ST, SUITE 1 DENTON SURGICARE PARTNERS LTD 350 S I-35 E, GASTROENTEROLOGY ASSOCIATES, PLLC 500 LILLY RD NE, SUITE 204 ENDOSCOPY CENTER OF SANTA FE LP 1650 HOSPITAL DR, SUITE 900 ASHEVILLE GASTROENTEROLOGY ASSOCIATES, PA 191 BILTMORE AVE, SMA Informatics Confidential CITY REDWOOD CITY DOWNEY YAKIMA FRANKLIN SAN ANTONIO COSTA MESA CARSON CITY BELLEVUE NEWARK BEL AIR MOUNTAIN VIEW STILLWATER PHOENIX ATLANTA ANCHORAGE COOKEVILLE NAPLES FRIDLEY AUGUSTA MONONGAHELA ST AUGUSTINE SAN DIEGO METAIRIE SALINA SCRANTON DENTON OLYMPIA SANTA FE ASHEVILLE SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 96 ST ZIP CA CA WA OH TX CA NV WA NJ MD CA OK AZ GA AK TN FL MN GA PA FL CA LA KS PA TX WA NM NC 94063 90241 98902 45005 78229 92626 89705 98004 07105 21015 94040 74074 85024 30342 99501 38501 34102 55432 30904 15063 32086 92123 70002 67401 18509 76205 98506 87505 28801 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1548252968 1548254402 1548257892 1548260490 1548263619 1548267024 1548274061 1548274475 1548280209 1548296296 1548299613 1548322829 1548324411 1548343817 1548343833 1548353113 1548359037 1548374267 1548399561 1548400070 1548418320 1548446669 1548455496 1548456478 1548459860 1548493422 1548583651 1558303388 1558305086 PROVIDER NAME ADDRESS FOOT AND ANKLE CLINIC OF SPOKANE INC 205 N UNIVERSITY RD STE 4, LIVE OAK ENDOSCOPY CENTER, LLC 275 18TH ST, SUITE 101 UROLOGICAL AMBULATORY SURGERY CENTER, INC. 1812 N MILLS AVE, N W EYE SURGEONS P C 795 N 5TH AVE, AZAR SURGERY CENTER LLC 31519 WINTERPLACE PKWY, STE 1 FORT WAYNE ENDOSCOPY CENTER LLC 3415 HOBSON RD, THE EYE INSTITUTE SURGERY CENTER 1995 W NASA BLVD, STE 100 NEW ENGLAND SURGICAL CENTER FOR OUT PATIENT ENDOSCOPY, 385 GROVE ST, LLC SHORT HILLS SURGERY CENTER, LLC 187 MILLBURN AVE., ENT SURGERY CENTER OF AUGUSTA, LLC 340 N BELAIR RD, SUITE B DR SAMUEL D BEITLER PA 795 AQUAHART RD, #125 GASTROINTESTINAL MEDICAL CENTER 25775 MCBEAN PKWY, SUITE 115 KRUGER CLINIC OTHOPAEDICS, PLLC 21600 HIGHWAY 99 STE 150, HILLSIDE DIAGNOSTIC AND TREATMENT CENTER, LLC 18811 HILLSIDE AVE, PRESBYTERIAN ENDOSCOPY CENTER AT HUNTERSVILLE,16525 LLC HOLLY CREST LN, SANTA MARIA AMBULATORY SURGERY & LASER CENTER, 120INC. N MILLER ST, SUITE C SURGERY CENTER OF BRANSON 1000 JAMES F EPPS RD, SUITE 3 DALLAS SURGI CENTER, INC. 8230 WALNUT HILL LN STE 808, DES PERES EYE SURGERY CENTER, LLC 12990 MANCHESTER RD, SUITE 103 COMMUNITY ENDOSCOPY CENTER LLC 1601 MEDICAL ARTS BLVD STE 300, COMPREHENSIVE PAIN MANAGEMENT PLLC 2089 SOUTH RIDGE DR., INNOVIS HEALTH, LLC 275 11TH ST S, CENTURY SURGERY LLC 2080 CENTURY PARK E, SUITE 703 WHA MEDICAL CLINIC, PLLC 1202 MEDICAL CENTER DR, PAVILION SPINE SURGERY CENTER LLC 3193 HOWELL MILL RD NW, STE. #315 AESTHETIC ARTS INSTITUTE OF PLASTIC SURGERY LLC 8401 GRANT AVE, PENINSULA ENDOSCOPY CENTER LLC 50 S SAN MATEO DR, SUITE 400 THE SURGERY CENTER AT BRINTON LAKE, LLC 300 EVERGREEN DRIVE, SUITE 320 SOUTHWESTERN EYE CENTER 3321 E BELL RD, SMA Informatics Confidential CITY SPOKANE VALLEY VERO BEACH ORLANDO SEQUIM SALISBURY FORT WAYNE MELBOURNE WORCESTER MILLBURN EVANS GLEN BURNIE VALENCIA EDMONDS JAMAICA HUNTERSVILLE SANTA MARIA BRANSON DALLAS SAINT LOUIS ANDERSON TUPELO WAHPETON LOS ANGELES WILMINGTON ATLANTA LA MESA SAN MATEO GLEN MILLS PHOENIX SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 97 ST ZIP WA FL FL WA MD IN FL MA NJ GA MD CA WA NY NC CA MO TX MO IN MS ND CA NC GA CA CA PA AZ 99206 32960 32803 98382 21804 46805 32904 01605 07041 30809 21061 91355 98026 11423 28078 93454 65616 75231 63131 46011 38801 58075 90067 28401 30327 91941 94401 19342 85032 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1558313544 1558323956 1558327213 1558327338 1558328096 1558328518 1558329151 1558331801 1558335448 1558337790 1558339424 1558341032 1558344846 1558345033 1558361477 1558363549 1558372029 1558390781 1558401299 1558407254 1558417964 1558417972 1558435040 1558436105 1558448837 1558451583 1558454678 1558456459 1558463257 PROVIDER NAME ADDRESS MINNESOTA VALLEY SURGERY CENTER LLC 1000 140TH STREET WEST, SUITE 250 MELBOURNE SURGERY CENTER LP 1340 MEDICAL PARK DR, SUITE 101 SURGICARE OF JACKSON LTD 760 LAKELAND DR, DANBURY SURGICAL CENTER LP 73 SAND PIT RD, SUITE 101 NEWPORT BEACH ENDOSCOPY CENTER GENERAL PARTNERSHIP 1525 SUPERIOR AVE, SUITE 114 BUTLER AMBULATORY SURGERY CENTER L L C 102 TECHNOLOBY DRIVE SUITE 130, HWOV LLC 2111 OGDEN AVE, MEMORIAL HERMANN SURGERY CENTER-THE WOODLANDS, 9200 PINECROFT, LLP SUITE 200 THE ENDOSCOPY AND COLONOSCOPY CENTER, LLC 100 VILLAGE SQUARE, KEARNEY AMBULATORY SURGICAL CENTER, LLC 3515 30TH AVE, PREMIER SURGERY CENTER 2222 EAST ST, SUITE 200 SOUTH JERSEY SURGICENTER, INC 2835 S DELSEA DR, ALGONQUIN ROAD SURGERY CENTER 2550 W ALGONQUIN RD, SURGERY ALLIANCE LTD 975 SAWBURG AVE, PALO ALTO MEDICAL FOUNDATION FOR HEALTH, RESEARCH 795 EL&CAMINO EDUCATION REAL, SUSQUEHANNA VALLEY SURGERY CENTER 4310 LONDONDERRY RD, SUITE 1 HOLIDAY SURGERY CENTER 1109 US HIGHWAY 19, BAPTIST PHYSICIANS SURGERY CENTER LLC 1720 NICHOLASVILLE RD, SUITE 101 SAN GABRIEL VALLEY SURGICAL CENTER, L.P. 1250 S SUNSET AVE, SUITE 100 GLENDALE MULTI-SPECIALTY SURGERY CENTER, LLC 716 W BROADWAY, ORTHOPEDICS INTERNATIONAL LTD PS 600 BROADWAY, SUITE 460 SIERRA PLASTIC SURGERY CENTER INC 6153 N THESTA, IPP, PC 1629 220TH ST SE, SUITE 204 CATARACT LASER CENTERCENTRAL LLC 95 MECHANIC ST, DOYLESTOWN SURGICAL CENTER LLC 847 EASTON ROAD, SUITE 1400 LIPPY SURGERY CENTER LLC 3893 E MARKET ST, SAN JUAN ENDOSCOPY LLC 950 W PINON ST, PORTLAND ENDOSCOPY CENTER 1200 CONGRESS ST STE 300, SHADY GROVE AMBULATORY SURGERY CENTER,LLC 16220 S FREDERICK AVE, SUITE 427 SMA Informatics Confidential CITY BURNSVILLE MELBOURNE JACKSON DANBURY NEWPORT BEACH BUTLER AURORA THE WOODLANDS HAZELWOOD KEARNEY CONCORD VINELAND LAKE IN THE HILLS ALLIANCE PALO ALTO HARRISBURG HOLIDAY LEXINGTON WEST COVINA GLENDALE SEATTLE FRESNO BOTHELL GARDNER WARRINGTON WARREN FARMINGTON PORTLAND GAITHERSBURG SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 98 ST ZIP MN FL MS CT CA PA IL TX MO NE CA NJ IL OH CA PA FL KY CA CA WA CA WA MA PA OH NM ME MD 55337 32901 39216 06810 92663 16001 60504 77380 63042 68845 94520 08360 60156 44601 94301 17109 34691 40503 91790 91204 98122 93710 98021 01440 18976 44484 87401 04102 20877 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1558467936 1558469759 1558471490 1558475210 1558480947 1558487009 1558497263 1558501916 1558504050 1558511881 1558514158 1558524298 1558526293 1558538231 1558553859 1558562579 1558564344 1558570648 1558580910 1558683334 1558694034 1568408060 1568416105 1568419323 1568420388 1568421840 1568424950 1568426260 1568426336 PROVIDER NAME ADDRESS DANVILLE HEALTHCARE, LLC 26 W WEST NEWELL RD, VALLEY BAPTIST MEDICAL DEVELOPMENT CORPORATION 1515 N ED CAREY DR, VIP ENDOSCOPY INC 1615 S EUCALYPTUS AVE, SUITE 101 SURGICAL SPECIALTY ASSOCIATES LLC 4633 WICHERS DR, SUITE 200 CASCADE FOOT & ANKLE SPECIALIST INC 450 NW GILMAN BLVD, SUITE 303 MIDWEST DIGESTIVE HEALTH CENTER LLC 3601 NE RALPH POWELL RD, ARTHUR N DONALDSON MD INC 940 SYLVA LN, SUITE G ST. FRANCIS MOORESVILLE SURGERY CENTER, LLC 1215 HADLEY RD, SUITE 100 WEST BANK SURGERY CENTER, LLC 3704 LAPALCO BLVD, ADVANCED EYE MEDICAL GROUP 26701 CROWN VALLEY PKWY, BAKERSFIELD SURGERY CENTER, LLC 2120 19TH ST, SAINT FRANCIS GI ENDOSCOPY L.L.C 360 BLOOMFIELD AVE, SUITE 204 ENDOSCOPY CENTER OF THE ROCKIES LLC 1755 48TH ST, SUITE 100 PACIFIC CATARACT AND LASER INSTITUTE INC PC 9951 MICKELBERRY RD NW, SUITE 123 GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER 106 HIGHLAND WAY, SUITE 101 INTERNATIONAL CENTER FOR FOOT & ANKLE SURGERY7130 MOUNT ZION BLVD, SUITE 14 SURGERY CENTER OF ATLANTIS LLC 5645 S MILITARY TRL, ALASKA NATIVE TRIBAL HEALTH CONSORTIUM 4315 DIPLOMACY DR, ORANGE CITY SURGICAL LLC 1053 MEDICAL CENTER DRIVE, MEMORIAL PHYSICIANS, PLLC 3909 CREEKSIDE LOOP, BREVARD SPECIALTY SURGERY CENTER LLC 95 BULLDOG BOULEVARD, SUITE 104 ROSATO PLASTIC SURGERY CENTER, INC 3790 7TH TER, SUITE 101 MICHAEL F LUPINACCI MD PC 4310 LONDONDERRY RD, SUITE 100 SOUTH PLAINS ENDOSCOPY CENTER 3610 24TH ST, GREAT LAKES SURGICAL CENTER LLC 26051 LAHSER RD, CAPITAL ORTHOPEDIC SURGERY CENTER 264 PLEASANT ST, TRI-COUNTY SURGERY 1111 EAST 6TH STREET, PEORIA DAY SURGERY CENTER S.C. 7309 N KNOXVILLE AVE, SURGICARE OF ORANGE PARK LTD 2050 PROFESSIONAL CENTER DR, SMA Informatics Confidential CITY DANVILLE HARLINGEN BROKEN ARROW MARRERO ISSAQUAH LEES SUMMIT SONORA MOORESVILLE HARVEY MISSION VIEJO BAKERSFIELD WINDSOR BOULDER SILVERDALE MADISON JONESBORO LAKE WORTH ANCHORAGE ORANGE CITY YAKIMA MELBOURNE VERO BEACH HARRISBURG LUBBOCK SOUTHFIELD CONCORD WASHINGTON PEORIA ORANGE PARK SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 99 ST ZIP IL TX OK LA WA MO CA IN LA CA CA CT CO WA MS GA FL AK FL WA FL FL PA TX MI NH MO IL FL 61834 78550 74012 70072 98027 64064 95370 46158 70058 92691 93301 06095 80301 98383 39110 30236 33463 99508 32763 98902 32901 32960 17109 79410 48034 03301 63090 61614 32073 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1568427151 1568427698 1568431054 1568433142 1568437820 1568445062 1568448660 1568451326 1568456903 1568458784 1568460889 1568461150 1568466209 1568469328 1568471852 1568489086 1568503845 1568505899 1568513950 1568523918 1568532737 1568551901 1568556488 1568583896 1568654952 1568659738 1568667202 1568672376 1568674281 PROVIDER NAME ADDRESS CITY ST ZIP PLANO AMBULATORY SURGERY ASSOCIATES, LP 1620 COIT RD, PLANO TX 75075 NEW MEXICO SURGICENTER LIMITED PARTNERSHIP 1720 WYOMING BLVD NE, ALBUQUERQUE NM 87112 CATARACT AND LASER CENTER, LLC 15 IRIS LN, CROSSVILLE TN 38555 CENTRAL NEW YORK EYE CENTER, LTD 22 GREEN ST, POUGHKEEPSIE NY 12601 FLORIDA ENDOSCOPY & SURGERY CENTER, LLC 12900 CORTEZ BLVD, SUITE 103 BROOKSVILLE FL 34613 EYE SURGERY AND LASER CENTER OF WI 10200 W INNOVATION DR, SUITE 700 MILWAUKEE WI 53226 PROGRESSIVE SURGICAL INSTITUTE 201 E LAUREL BLVD, POTTSVILLE PA 17901 ENDOSCOPY CENTER NORTH 10600 MONTGOMERY RD, SUITE 101 CINCINNATI OH 45242 HEALTHSERVICESONE, P.C. 3500 CENTRAL AVE, SUITE C KEARNEY NE 68847 SURGERY CENTER AT WELLINGTON 1395 S STATE ROAD 7, WELLINGTON FL 33414 EYE ASSOCIATES OF MANATEE LLP 6002 POINTE WEST BLVD, BRADENTON FL 34209 WILLS COMMUNITY SURGICAL SERVICES OF CENTER CITY WILLS COMMUNITY SURGICAL SERVICES OF CENTERPHILADELPHIA CITY, 840 WALNUT STREET, PA 19107 SUITE 700 LAKEVIEW MEDICAL CENTER, INC 2000 MEADE PKWY, SUFFOLK VA 23434 WYOMISSING SURGICAL SERVICES INC. 1235 PENN AVE, SUITE 100 WYOMISSING PA 19610 KINGSTON AMBULATORY SURGICAL CENTER 40 HURLEY AVE, SUITE 13 KINGSTON NY 12401 MED ATLANTIC INC DBA UROSURGICAL CTR OF RICHMOND 8228 MEADOWBRIDGE RD, MECHANICSVILLE VA 23116 MINNESOTA VASCULAR SURGERY CENTER LLC 600 COUNTY ROAD D, NEW BRIGHTON MN 55112 BON SECOURS SURGERY CENTER AT HARBOUR VIEW, LLC 5818D HARBOUR VIEW BOULEVARD, SUITE 102 SUFFOLK VA 23435 MASSACHUSETTS AVENUE SURGERY CENTER 6400 GOLDSBORO RD, SUITE 400 BETHESDA MD 20817 CATHOLIC HEALTH INITIATIVES, IOWA CORP 1601 NW 114TH ST, SUITE 244 CLIVE IA 50325 ANTELOPE VALLEY SURGICAL INSTITUTE 44830 VALLEY CENTRAL WAY, SUITE 108 LANCASTER CA 93536 LASER THERAPY INC 201 S ALVARADO ST STE 407, LOS ANGELES CA 90057 SUNCOAST EYE CENTER 14003 LAKESHORE BLVD, HUDSON FL 34667 EASTERN ORANGE AMBULATORY SURGERY CENTER, LLC 21 LAUREL AVE, SUITE 120 CORNWALL NY 12518 CENTRAL OHIO UROLOGY GROUP, INC. 5969 E BROAD ST, SUITE 407 COLUMBUS OH 43213 MCR SURGERY CENTER, LLC 2500 ROCKY MOUNTAIN AVE, SUITE 200 LOVELAND CO 80538 SOUTHWESTERN EAR, NOSE & THROAT ASSOCIATES, PA 1620 HOSPITAL DRIVE, SANTA FE NM 87505 METRO SPINE PAINCENTER, L.L.C. 10777 NALL AVE, SUITE130 OVERLAND PARK KS 66211 VILLAGES ENDOSCOPY & SURGICAL CENTER LLC 10900 SE 174TH PLACE, SUMMERFIELD FL 34491 SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 100 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1568796845 1578502068 1578505079 1578508875 1578515367 1578515995 1578518247 1578525283 1578525853 1578528501 1578530226 1578530606 1578531208 1578534459 1578535233 1578536686 1578537247 1578558078 1578561890 1578566345 1578566758 1578567954 1578574463 1578575064 1578581468 1578593224 1578593281 1578600979 1578603007 PROVIDER NAME ADDRESS WILLIAMS SURGERY CENTER, INC. 1725 MEDICAL CENTER PKWY, SUITE 120 ORTHOPAEDIC SURGERY CENTER 33 SEWALL ST, TRUXTUN SURGERY CENTER 4260 TRUXTUN AVE, SUITE 120 CLERMONT AMBULATORY SURGICAL CENTER 255 CITRUS TOWER BLVD, SUITE 100 BLACK CANYON SURGICAL CENTER, LLC 611 E. STAR CT., SUITE C RAND SURGICAL PAVILION CORP 5 W SAMPLE RD, DIGESTIVE HEALTH CENTER OF INDIANA, P.C. 1265 WAYNE AVE, SUITE 304 PRINCETON ENDOSCOPY CENTER 731 ALEXANDER RD, SUITE 104 GASTROINTESTINAL CENTER OF HIALEAH INC 135 W 49TH ST, MT PLEASANT SURGERY CENTER LP 200 BESSEMER RD, PHYSICIANS SURGICAL CENTER OF FT. WORTH LLP 975 HASKELL STREET, SURGICENTER ASSOCIATES, INC 1117 LOWRY AVE, NORTHEAST ENDOSCOPY CENTER, LLC 721 WELLNESS WAY, STE 110 BOSTON OUT-PATIENT SURGICAL SUITES, LLC 840 WINTER ST, 3RD FLOOR SUN CITY OPHTHALMOLOGY ASC LLC 10541 W THUNDERBIRD BLVD, DCA DIAGNOSTICS, LLC 880 CRESTMARK DR, SUITE 102 WINDY HILL PODIATRY ASSOCIATES, P.C. 2520 WINDY HILL RD SE, SUIT 105 KINGSPORT ENDOSCOPY CORPORATION 135 W RAVINE RD, SUITE 7A THE ENDOSCOPY CENTER AT ST. FRANCIS, LLC 8051 S EMERSON AVE, STE 150 WESTHEALTH, INC 2855 CAMPUS DR, ADVANCED AMBULATORY SURGICAL CARE, LP 10448 OLD OLIVE STREET ROAD, SUITE 100 E. RONALD SALVITTI, M.D., INC. 750 E BEAU ST, MEDICAL CONSULTANTS ENDOSCOPY CENTER LLC 800 S TILLOTSON AVENUE, MULLIS EYE INSTITUTE INC 1600 JENKS AVE, PENINSULA SURGERY CENTER II LLC 120 KINGS WAY, SUITE 1500 K S MANAGEMENT SERVICES LLC 2727 W HOLCOMBE BLVD, ASC, 3RD FLOOR SOUTH ORANGE COUNTY OUTPATIENT SURGICAL CENTER 665INC CAMINO DE LOS MARES, SUITE 103 HOTCHKISS AND KATZEN AMBULATORY SURGICAL CENTER 4302 SAINT BARNABAS RD, DAVID M. SCHNEIDER, MD INC. 119 W KEMPER RD, SMA Informatics Confidential CITY MURFREESBORO PORTLAND BAKERSFIELD CLERMONT MONTROSE DEERFIELD BEACH INDIANA PRINCETON HIALEAH MOUNT PLEASANT FORT WORTH JEANNETTE LAWRENCEVILLE WALTHAM SUN CITY LITHIA SPRINGS MARIETTA KINGSPORT INDIANAPOLIS PLYMOUTH CREVE COEUR WASHINGTON MUNCIE PANAMA CITY WILLIAMSBURG HOUSTON SAN CLEMENTE TEMPLE HILLS CINCINNATI SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 101 ST ZIP TN ME CA FL CO FL PA NJ FL PA TX PA GA MA AZ GA GA TN IN MN MO PA IN FL VA TX CA MD OH 37129 04102 93309 34711 81401 33064 15701 08540 33012 15666 76107 15644 30046 02451 85351 30122 30067 37660 46237 55441 63141 15301 47304 32405 23185 77025 92673 20748 45246 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1578605044 1578608642 1578610564 1578638425 1578641528 1578643607 1578652152 1578662227 1578679320 1578679726 1578690848 1578722633 1578745568 1578748620 1578754347 1578763199 1578895207 1578898276 1588603351 1588604391 1588607154 1588610190 1588611198 1588619811 1588620306 1588627780 1588628358 1588628366 1588629604 PROVIDER NAME ADDRESS BROADWAY SURGICAL INSTITUTE 1451 S BROADWAY STREET, SEAFORD ENDOSCOPY CENTER LLC 13 FALLON AVE, SPINECARE, L.L.P. 5734 SPOHN DR, SUITE B KAISER FOUNDATION HEALTH PLAN MID OF THE ATLANTIC 10410 STATES,INC NORTH KESINGTON PARKWAY, SHERMAN SURGERY CENTER 1111 SARA SWAMY DR, SUITE B PAIN CENTER LLC 505 E MATTHEWS AVE, SUITE 103 IRVINE SURGICAL MEDICAL GROUP CORP 15825 LAGUNA CANYON RD, SUITE 100 PACE AMBULATORY SURGERY CENTER 3754 HIGHWAY 90, SUITE 120 ESSEX SURGICAL LLC 776 NORTHFIELD AVE, SURGEYECARE, INC. 5421 LA SIERRA DR, CENTRAL MAINE ORTHOPAEDICS AMBULATORY SURGERY 690CENTER MINOT AVE, SUITE ONE GREENVILLE SURGERY CENTER LP 5 MEMORIAL MEDICAL CT, THE ENDOSCOPY CENTER OF WEST CENTRAL OHIO, LLC2793 SHAWNEE ROAD, GEORGIA BONE & JOINT SURGEONS, P.C. 15 MEDICAL DR NE, BELLEVUE UROLOGY ASSOCIATES, INC. PS. 1135 NE 116TH AVE., SUITE 620 COSMETIC SURGERY FACILITY LLC 1300 BELLONA AVE, SUITE C MORLEDGE FAMILY SURGERY CENTER LLC 1747 POLY DR, SOUTHERN UROLOGY SURGERY CENTER, LLC 139 FAIRFIELD DRIVE, PHYSICIAN'S DAY SURGERY CENTER 17200 CHENAL PKWY STE 440, HAMILTON AMBULATORY SURGERY CENTER 1250 BROADRICK DR, SURGERY CENTER OF INDIANAPOLIS LLC 12188 N MERIDIAN ST, 150 SUMMIT AMBULATORY SURGICAL CENTER, LLC 21 CROSSROADS DR, SUITE 450 COLUMBUS SURGERY CENTER, LLC 940 N MARR RD, SUITE B LAWRENCEVILLE SURGERY CENTER, LLC 758 OLD NORCROSS RD, SUITE 125 SPECIALTY ORTHOPAEDICS SURGERY CENTER 1240 JESSE JEWELL PKWY SE, SUITE 360 SURGERY CENTER OF BEAUFORT LLC 1033 RIBAUT ROAD, OKLAHOMA OUTPATIENT SURGERY LIMITED PARTNERSHIP 4317 W MEMORIAL RD, PORTSMOUTH REGIONAL AMBULATORY SURGERY CENTER, 333 BORTHWICK LLC AVE, SUITE 200 GREENVILLE SURGERY CENTER LTD 7150 GREENVILLE AVE, SMA Informatics Confidential CITY ST SANTA MONICA CA SEAFORD DE CORPUS CHRISTI TX KENSINGTON MD SHERMAN TX JONESBORO AR IRVINE CA PACE FL WEST ORANGE NJ DALLAS TX AUBURN ME GREENVILLE SC LIMA OH CARTERSVILLE GA BELLEVUE WA LUTHERVILLE TIMONIUM MD BILLINGS MT HATTIESBURG MS LITTLE ROCK AR DALTON GA CARMEL IN OWINGS MILLS MD COLUMBUS IN LAWRENCEVILLE GA GAINESVILLE GA BEAUFORT SC OKLAHOMA CITY OK PORTSMOUTH NH DALLAS TX SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 102 ZIP 90404 19973 78414 20895 75090 72401 92618 32571 07052 75231 04210 29605 45806 30121 98004 21093 59102 39402 72223 30720 46032 21117 47201 30046 30501 29902 73134 03801 75231 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1588631832 1588633184 1588633481 1588636278 1588640353 1588644520 1588656508 1588659411 1588663512 1588665269 1588665665 1588667208 1588668503 1588679179 1588681373 1588689020 1588711162 1588720072 1588735708 1588737035 1588737753 1588739858 1588743009 1588746333 1588756621 1588765739 1588772719 1588777130 1588787790 PROVIDER NAME ADDRESS CITY SURGICAL SERVICES OF MICHIGAN, LLC 2775 BLAKE RD, JACKSON PREMIUM SURGERY CENTER LLC 5319 HOAG DR, ELYRIA BGC HOLDINGS INC 1610 BARRS ST, JACKSONVILLE AESTHETIC PLASTIC SURGERY CENTER, L.P. 1200 BINZ ST, SUITE 1000 HOUSTON ENT REALTY CORP 7900 W JEFFERSON BLVD, SUITE 102 FORT WAYNE WESTGLEN ENDOSCOPY CENTER LLC 16663 MIDLAND DR, SUITE 200 SHAWNEE SAINT THOMAS CAMPUS SURGICARE LP 4230 HARDING ROAD, MEDICAL PLAZA EAST, SUITENASHVILLE 300 TRI-LAKES SURGERY CENTER, LLC 915 HIGHWAY 248, SUITE B BRANSON THOMAS EYE SURGERY CENTER, LLC 5671 PEACHTREE DUNWOODY RD NE, SUITE 380 ATLANTA RF EYE PC 2445 E WILCOX DR, SIERRA VISTA CERTIFIED AMBULATORY SURGERY CENTER 9715 MEDICAL CENTER DR, 535 ROCKVILLE BRADFORD PLACE SURGERY & LASER CENTER,LLC 1531 E BRADFORD PKWY, STE 120 SPRINGFIELD MIRAGE ENDOSCOPY CENTER, L.P. 39935 VISTA DEL SOL, STE 101 RANCHO MIRAGE SPECIALTY SURGICAL CENTER OF ENCINO LP 16501 VENTURA BLVD, STE 103 ENCINO CONSTITUTION EYE SURGERY CENTER EAST LLC 174 CROSS RD, WATERFORD LEXINGTON COUNTY HEALTH SERVICES DISTRICT, INC. 7035 SAINT ANDREWS RD, COLUMBIA SEATTLE HAND SURGERY GROUP PC 600 BROADWAY, SUITE 440 SEATTLE SOUTHEASTERN GASTROENTEROLOGY ENDOSCOPY CENTER, 101 WPA 27TH ST, LUMBERTON FILUTOWSKI EYE INSTITUTE PA 1070 GREENWOOD BLVD, LAKE MARY BRENTWOOD AMBULATORY SURGICAL MEDICAL CENTER 11645 WILSHIRE BLVD, 905 LOS ANGELES KIRKWOOD ENDOSCOPY CENTER LLC 10 DARWIN DR, NEWARK OLIVE AMBULATORY SURGERY CENTER, LP 12101 WOODCREST EXECUTIVE DRIVE, SUITE 101 SAINT LOUIS VALLEY GASTROENTEROLOGY 12401 E SINTO AVE, SPOKANE VALLEY TALLAHASSEE ORTHPAEDIC SURGERY PARTNERS LTD 3334 CAPITAL MEDICAL BLVD, SUITE 500 TALLAHASSEE HIGHLINE SOUTH AMBULATORY SURGERY 11 W DRY CREEK CIR, LITTLETON NORTHWEST ENDOSCOPY CENTER, LLC 2930 SQUALICUM PKWY, SUITE 202 BELLINGHAM HEMORRHOID CLINICS OF AMERICA 22000 GREENFIELD ROAD, OAK PARK J J YOUNG MD 4214 SW LEE BLVD, LAWTON SERRA COMMUNITY MEDICAL CLINIC SURGERY CENTER9375 SAN FERNANDO RD, SUN VALLEY SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 103 ST ZIP MI OH FL TX IN KS TN MO GA AZ MD MO CA CA CT SC WA NC FL CA DE MO WA FL CO WA MI OK CA 49201 44035 32204 77004 46804 66217 37205 65616 30342 85635 20850 65804 92270 91436 06385 29212 98122 28358 32746 90025 19711 63141 99216 32308 80120 98225 48237 73505 91352 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1588797807 1588802466 1588802987 1588803373 1588806756 1588828511 1588839609 1588854772 1588867030 1588867170 1588876817 1588879266 1588991228 1598093007 1598700635 1598700676 1598700841 1598709016 1598729329 1598735011 1598744732 1598756306 1598758153 1598767154 1598769481 1598770950 1598772634 1598773111 1598775231 PROVIDER NAME ADDRESS CITY SPOKANE DIGESTIVE DISEASE CENTER, P.S. 105 W 8TH AVE, SUITE 6010 SPOKANE SALMON CREEK PLASTIC SURGERY PC 14411 NE 20TH AVE STE 103, VANCOUVER SOUTH CENTRAL ENDOSCOPY, LLC 124 SAWTOOTH OAK ST., HOT SPRINGS SUTTER GOULD MEDICAL FOUNDATION 1409 E BRIGGSMORE AVE, MODESTO NORTH SCOTTSDALE OUTPATIENT SURGERY CENTER, L.L.C. 8913 E BELL RD, 101 SCOTTSDALE AGUADILLA MEDICAL SERVICES INC AVE VICTORIA ST 2, AGUADILLA RIVERWALK AMBULATORY SURGERY CENTER 200 3RD AVE W STE 170, BRADENTON ALABAMA DIGESTIVE HEALTH ENDOSCOPY CENTER, LLC2010 BROOKWOOD MEDICAL CTR DR, SUITE G-100BIRMINGHAM PACIFIC ENDO-SURGICAL CENTER LP 3445 PACIFIC COAST HWY, SUITE 120 TORRANCE CENTRAL ENDOSCOPY CENTER 2344 EL CAMINO REAL STE 101, SANTA CLARA FREEWAY SURGERY CENTER LLC 5800 WEST TENTH STREET, SUITE 206 LITTLE ROCK BAYSIDE ENDOSCOPY CENTER LLC 1407 SOUTH COUNTY TRAIL, BUILDING #4, SUITE 411 EAST GREENWICH THE EYE SURGICAL CENTER OF FORT WAYNE, LLC 321 E WAYNE ST, FORT WAYNE TARBORO ENDOSCOPY CENTER, LLC 201 CLINIC DR, TARBORO BARNET DULANEY PERKINS EYE CENTER 1500 S WHITE MOUNTAIN RD, SUITE 300 SHOW LOW FLORIDA EYE INSTITUTE SURGICENTER LLC 2750 INDIAN RIVER BLVD, VERO BEACH CENTER FOR MINIMALLY INVASIVE SURGERY 19110 DARVIN DRIVE, MOKENA ST JOHNS CLINIC INC 1229 E SEMINOLE ST, SPRINGFIELD SURGICARE OF ST ANDREWS LTD 1350 E VENICE AVE, VENICE RIVERWALK ENDOSCOPY AND SURGERY CENTER LLC 8380 RIVERWALK PARK BLVD, SUITE 220 FORT MYERS MIDWEST EYE SURGERY CENTER, LLC 4353 DODGE ST, LOWER LEVEL OMAHA YORK GREEN SURGERY CENTER, LLC 1300 YORK RD, BLDG C STE 200 LUTHERVILLE OUTPATIENT SURGERY CENTER OF JONESBORO LLC 1100 E MATTHEWS AVE, JONESBORO NORTHWEST GEORGIA ORTHOPAEDIC SURGERY CENTER, 2550 LLCWINDY HILL RD SE, SUITE 218 MARIETTA UNITED SURGERY CENTER - SOUTHEAST, LTD. 12700 N. FEATHERWOOD DR., SUITE 100 HOUSTON IRVINE PLASTIC SURGERY CENTER 16300 SAND CANYON AVE, SUITE 1011 IRVINE UTAH SURGERY CENTER LP 10011 CENTENNIAL PKWY, SUITE 100 SANDY SURGERY CENTER OF POTTSVILLE, LP 1544 ROUTE 61, SUITE 6192 POTTSVILLE SURGERY CENTER OF COLUMBIA COUNTY, LLC 4300 UNIVERSITY PKWY, EVANS SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 104 ST ZIP WA WA AR CA AZ PR FL AL CA CA AR RI IN NC AZ FL IL MO FL FL NE MD AR GA TX CA UT PA GA 99204 98686 71901 95355 85260 00603 34205 35209 90505 95050 72204 02818 46802 27886 85901 32960 60448 65804 34285 33919 68131 21093 72401 30067 77034 92618 84070 17901 30809 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1598786477 1598791105 1598791923 1598794729 1598797714 1598804486 1598806408 1598809758 1598815110 1598846925 1598847139 1598868846 1598879009 1598879512 1598903221 1598905317 1598921819 1598927147 1598942716 1598949281 1598950230 1598952152 1598965634 1598981888 1598996894 1609014034 1609026533 1609030774 1609039056 PROVIDER NAME ADDRESS OSTEOPATHIC SURGICAL CENTER, LLC 2050 ABBEY RD, SUITE 1 TOTAL EYE CARE SURGERY 640 S LAKE ST, ORANGE COAST SURGICAL CENTER, INC 240 NEWPORT CENTER DR, # 105 THE EMORY CLINIC INC 550 PEACHTREE ST, SURGERY CENTER OF LYNCHBURG 2401 ATHERHOLT RD, SHREVEPORT SURGERY CENTER PARTNERSHIP 745 OLIVE ST, SUITE 100 AMBULATORY SURGICAL CENTER OF WARTBURG 1236 KNOXVILLE HWY, CALIFORNIA EYE CLINIC 3747 SUNSET LN, EXECUTIVE ENDOSCOPY, INC. 2100 FOREST AVE, SUITE 109 EYE CENTERS OF FLORIDA SURGICARE 4101 EVANS AVE, ORTHOPAEDIC ASSOCIATES SURGERY CENTER, LLC 811 13TH ST, SUITE 21 ROCKWOOD CLINIC, PS 208 W 5TH AVE, DIGESTIVE DISEASES CENTER OF HATTIESBURG, LLC 100 METHODIST HOSPITAL BLVD, NORTHLAND EYE SURGERY CENTER, LLC 100 N CLAYVIEW DR, SUITE A ARCADIA SURGICAL MEDICAL CENTER 638 W DUARTE RD, SUITE 18 ISLAND ENDOSCOPY CENTER LLC 1175 MONTAUK HWY, THE PHYSICIANS' NORTH ATLANTA SURGERY CENTER LLC 5730 GLENRIDGE DR NE, SUITE 110 MORTON PLANT MEASE HEALTH SERVICES INC 8787 BRYAN DAIRY RD, SURGERY CENTER OF WILSON, LLC 1709 MEDICAL PARK DR W, POWAY CA MULTI SPECIALTY ASC LLC 15525 POMERADO RD, SUITE E-2 LEESVILLE SURGERY CENTER LLC 1103 PORT ARTHUR TERRACE, AMELIA ISLAND SURGERY CENTER LLC 2461 LYNNDALE RD, LAKE CITY SURGERY CENTER LLC 404 NW HALL OF FAME DR, PREMIER ORTHOPEDIC SURGICENTER, LLC 2405 OSLER CT, SUITE 100 SURGICAL ELITE OF AVONDALE, LLC 10815 W MCDOWELL RD, SUITE 101 WILMINGTON SURGERY CENTER 721 W MAIN ST, EYE SURGICENTER LLC 2521 NW 41ST ST, SARASOTA PHYSICIANS SURGICAL CENTER, LLC 3201 S TAMIAMI TRL, FARSHID PAYDAR MD PC 401 S CALVARY WAY STE D, SMA Informatics Confidential CITY ST CHARLOTTESVILLE VA LEESBURG FL NEWPORT BEACH CA ATLANTA GA LYNCHBURG VA SHREVEPORT LA WARTBURG TN ANTIOCH CA SAN JOSE CA FORT MYERS FL AUGUSTA GA SPOKANE WA HATTIESBURG MS LIBERTY MO ARCADIA CA WEST ISLIP NY ATLANTA GA LARGO FL WILSON NC POWAY CA LEESVILLE LA FERNANDINA BEACH FL LAKE CITY FL ALBANY GA AVONDALE AZ WILMINGTON OH GAINESVILLE FL SARASOTA FL COTTONWOOD AZ SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 105 ZIP 22911 34748 92660 30308 24501 71104 37887 94509 95128 33901 30901 99204 39402 64068 91007 11795 30328 33777 27893 92064 71446 32034 32055 31707 85392 45177 32606 34239 86326 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1609051515 1609052679 1609056290 1609057017 1609065903 1609076975 1609082528 1609104900 1609800242 1609803204 1609814508 1609815075 1609825298 1609826361 1609831700 1609841261 1609848472 1609862341 1609864883 1609868041 1609870336 1609871680 1609871847 1609872597 1609873116 1609874254 1609876556 1609882810 1609887041 PROVIDER NAME ADDRESS INDIANA ENDOSCOPY CENTERS LLC 1801 N SENATE BLVD STE 410, BELTWAY SURGERY CENTERS, LLC 200 W 103RD ST, UCSD AMBULATORY SURGERY CENTER LLC 8929 UNIVERSITY CENTER LN, SUITE 103 AHWATUKEE SURGERY CENTER, PC 15810 S 45TH ST STE 150, LAURUS SURGICAL, L.L.C 1388A WELLBROOK CIR NE, CELEBRATION SURGERY CENTER LLC 410 CELEBRATION PL, SUITE 408 CONTEMPORARY PLASTIC SURGI CENTER, LLC 579A CRANBURY RD, SUITE 202 TOWER WOUND CARE CENTER OF SANTA MONICA, INC. 1301 20TH ST SUITE470, FRIEDMAN PROFESSIONAL MANAGEMENT CO 17752 BEACH BLVD, AFFILIATED ENDOSCOPY SERVICES OF CLIFTON,LLC 925 CLIFTON AVE, SUITE 100 OUTPATIENT ORTHOPAEDIC ASSOCIATES SURGERY CENTER 1505 LLC HARROUN STREET, SUITE #1 SOUTHERN ORTHOPAEDIC SURGERY CENTER OF FAYETTEVILLE, 1265 HIGHWAY LLC 54 W, SUITE 103 SURGERY CENTER OF IDAHO LLC 2855 E MAGIC VIEW DR, PRESIDIO SURGERY CENTER, LLC 1635 DIVISADERO ST, SUITE 200 SURGICAL CAREGIVERS OF FORT WORTH LP 2001 W ROSEDALE ST, WEST PALM BEACH FL ENDOSCOPY ASC LLC 1117 N OLIVE AVE, SUITE 201 PENNSYLVANIA EYE & EAR SURGERY 1 GRANITE POINT DR, SUITE 200 WESTERN NEVADA SURGICAL CENTER INC 1299 MOUNTAIN ST, EASTERN CONNECTICUT ENDOSCOPY CENTER 79 WAWECUS ST, SUITE 107 HYDE PARK SURGERY CENTER, LLC 1644 E 53RD ST, DESOTO SURGICARE PARTNERS, LLC. 7992 WEST VIRGINIA DRIVE, LAUREL MD ENDOSCOPY ASC LLC 7350 VAN DUSEN RD, STE 230 THE SURGERY CENTER, LLC 2548 WEEMS RD, COLISEUM SAME DAY SURGERY CENTER LP 340 HOSPITAL DR, BLDG E AMBULATORY SURGERY CENTER OF BROOKLYN, LLC 313 43RD ST, NOVAMED SURGERY CENTER OF MERRILLVILLE, LLC 8514 BROADWAY, PEAK ONE SURGERY CENTER, LLC HIGHWAY 9 AND SCHOOL ROAD, LAGRECA EYE CLINIC PC 2475 VILLAGE LN, SUITE 202 ZITELLI & BRODLAND PC 5200 CENTRE AVENUE, SUITE 303 SMA Informatics Confidential CITY ST INDIANAPOLIS IN INDIANAPOLIS IN SAN DIEGO CA PHOENIX AZ CONYERS GA CELEBRATION FL EAST BRUNSWICK NJ SANTA MONICA CA HUNTINGTON BEACHCA CLIFTON NJ MCKINNEY TX FAYETTEVILLE GA MERIDIAN ID SAN FRANCISCO CA FORT WORTH TX WEST PALM BEACH FL WYOMISSING PA CARSON CITY NV NORWICH CT CHICAGO IL DALLAS TX LAUREL MD COLUMBUS GA MACON GA BROOKLYN NY MERRILLVILLE IN FRISCO CO BILLINGS MT PITTSBURGH PA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 106 ZIP 46202 46290 92122 85048 30012 34747 08816 90404 92647 07013 75069 30214 83642 94115 76104 33401 19610 89703 06360 60615 75237 20707 31909 31217 11232 46410 80443 59102 15232 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1609887413 1609893379 1609896216 1609896539 1609907211 1609913037 1609930676 1609931229 1609932557 1609938570 1609940352 1609940899 1609955475 1609955517 1609965961 1609966951 1609968478 1609969302 1609974401 1609977610 1609983089 1609983477 1609989946 1609996149 1619004306 1619013455 1619022779 1619023496 1619036381 PROVIDER NAME ADDRESS CSS JV, LLC 11782 SW BARNES RD, #200 SUMMIT SURGERY CENTER LP 3801 W 15TH ST, SUITE 150 SALT LAKE ENDOSCOPY CENTER 24 S 1100 E STE 103, CEDAR HILLS AMBULATORY SURGERY CENTER LLC 10305 SW PARK WAY STE 101, SHREWSBURY SURGERY CENTER, LLC 655 SHREWSBURY AVE, PRINCETON SURGIPLEX, LLC 932 STATE RD, BAYWOOD MEDICAL ASSOCIATES, PLLC 6309 E BAYWOOD AVE, THE SURGERY CENTER OF JACKSONVILLE 10475 CENTURION PKWY N, SUITE 101 PLASTIC AND COSMETIC SU OF TEXAS 5316 WEST PLANO PARKWAY, LASER SURGERY CENTER LTD 2021 YGNACIO VALLEY RD, BLDG H STE 102 MARLBORO GASTROENTEROLOGY ASSOCIATES PA 102 ENDO LN, SUITE 1 2096 SE. 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Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 107 ST ZIP OR TX UT OR NJ NJ AZ FL TX CA NC FL IL TN SD ID IA FL OH PA ID GA CA MD GA IL NC MD DE 97225 75075 84102 97225 07702 08540 85206 32256 75093 94598 28345 34996 60659 37922 57006 83814 50325 34613 43240 16801 83702 30114 92868 20852 30009 60612 27203 20904 19803 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1619037066 1619040268 1619041050 1619048170 1619049269 1619049939 1619051679 1619051760 1619061751 1619065273 1619071214 1619077211 1619093218 1619093291 1619093747 1619101763 1619124401 1619144607 1619149960 1619166097 1619181765 1619920501 1619923661 1619923950 1619924131 1619926755 1619933264 1619933835 1619935483 PROVIDER NAME ADDRESS CITY ST THE EL DORADO AR MULTISPECIALTY ASC LLC 2704 VINE STREET, EL DORADO AR PHYSICIANS PLAZA SURGERY CENTER, LLC 1631 HOSPITAL DR STE 100, SANTA FE NM TRIANGLE SURGERY CENTER 450 N ROXBURY DR, SUITE 250 BEVERLY HILLS CA EASTERN UTAH SURGICAL CENTER 200 N FAIRGROUNDS RD, SUITE 1 PRICE UT OUTPATIENT SURGERY CENTER INC 201 NOLAND DR, BRANDON FL ENDOSCOPY CENTER MONROE LLC 1321 E SUNSET DR, MONROE NC JOHN SKOUGE , M.D.,P.A. 1302 BELLONA AVE, LUTHERVILLE MD GREENVILLE ENDOSCOPY CENTER 200 PATEWOOD DR, SUITE B100 GREENVILLE SC BROOKPARK SURGERY CENTER LLC 2330 SAINT MARY ST WEST, BROOKPARK FARM LEWISBURG PA SHENANDOAH TX ENDOSCOPY ASC LLC 111 VISION PARK BLVD, SUITE 160 THE WOODLANDS TX RADS OF AMERICA, LLC 3024 BUSINESS PARK CIR, GOODLETTSVILLE TN BALD MOUNTAIN HOLDINGS, LLC 1375 S LAPEER RD, SUITE 109 LAKE ORION MI CLEBURNE SURGICAL CENTER, LLC 2010 WEST KATHERINE P. 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Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 108 ZIP 71730 87505 90210 84501 33511 28112 21093 29615 17837 77384 37072 48360 76031 44124 20850 02136 28277 99336 98664 10003 90010 60914 38671 78731 92660 92083 97301 52807 29926 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1619940582 1619944824 1619957115 1619965324 1619970472 1619971082 1619971504 1619972791 1619974219 1619979580 1619981479 1619989019 1619992518 1619993425 1619995180 1619998523 1619998648 1629009071 1629012448 1629013164 1629016076 1629016555 1629024161 1629032305 1629032396 1629032446 1629038989 1629041157 1629045133 PROVIDER NAME ADDRESS FT MYERS DIGESTIVE HEALTH AND PAIN ASC LLC 12700 CREEKSIDE LN, SUITE 202 WAVERLEY SURGERY CENTER, L.P. 400 FOREST AVE, MINNESOTA EYE LASER & SURGERY CENTERS, LLC 1965 11TH AVE E, ADVANCED SURGERY CENTER 12607 OLIVE BLVD, CYPRESS OUTPATIENT SURGICAL CENTER, INC. 1665 DOMINICAN WAY, STE 120 KU MEDWEST AMBULATORY SURGERY CENTER, LLC 7405 RENNER RD, DOCTORS OUTPATIENT SURGICENTER, LTD. 3534 VISTA BOULEVARD, AMBULATORY SURGERY CENTER OF SPARTANBURG, LLC 720 N PINE ST, ST. 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ANTHONY MIDTOWN AMBULATORY SURGERY CENTER 1110 N LEE AVE, UTAH SURGICAL CENTER, LLC 3715 W 4100 S, WESTCHESTER AMBULATORY SURGERY CENTER INC. 226 WESTCHESTER AVE, AMBULATORY SURGERY CENTER GROUP LTD 4500 E FLETCHER AVE, SAN ANTONIO EYE CENTER 800 MCCULLOUGH, WESTLAKE OPHTHALMOLOGY ASC LP 2900 TOWNSGATE RD, SUITE 201 MARTHA JEFFERSON OUTPATIENT SURGERY CENTER, LLC 595 PETER JEFFERSON PKWY, SUITE 290 SMA Informatics Confidential CITY ST ZIP FORT MYERS PALO ALTO MAPLEWOOD SAINT LOUIS SANTA CRUZ SHAWNEE PASADENA SPARTANBURG STOCKTON ORMOND BEACH DES PLAINES SANTA BARBARA VENICE BRIDGETON DALLAS GREENVILLE BOISE LOS ANGELES SANTA MONICA CHAMBERSBURG RIVERDALE FEDERAL WAY OKLAHOMA CITY WEST VALLEY CITY WHITE PLAINS TAMPA SAN ANTONIO WESTLAKE VILLAGE CHARLOTTESVILLE FL CA MN MO CA KS TX SC CA FL IL CA FL MO TX SC ID CA CA PA MD WA OK UT NY FL TX CA VA 33919 94301 55109 63141 95065 66217 77504 29303 95204 32174 60016 93105 34285 63044 75230 29615 83702 90025 90404 17201 20737 98003 73103 84120 10604 33613 78215 91361 22911 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 109 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1629053608 1629063151 1629069281 1629075106 1629078043 1629079058 1629079611 1629094917 1629095195 1629105770 1629107099 1629107545 1629108949 1629111430 1629113501 1629114079 1629130521 1629132360 1629133442 1629135843 1629142666 1629145685 1629152053 1629153770 1629166624 1629171228 1629173075 1629175062 1629177316 PROVIDER NAME ADDRESS WRSC ACQUISITION GROUP, LLC 1930 STATE ROUTE 59, INST GATRENTENDOSCOPIA 400 AVE FD ROOSEVELT, EYE SURG OF UTAH, LLC 10011 CENTENNIAL PKWY, 400 MICHIGAN ENDOSCOPY CENTER LLC 30055 NORTHWESTERN HWY, SUITE L-60 NOVAMED EYE SURGERY CENTER OF OVERLAND PARK,5520 LLC COLLEGE BLVD, SUITE 200 CARES SURGICENTER LLC 240 EASTON AVE, NEWCO AMBULATORY SURGERY CENTER, LLP 4190 24TH AVE, ANNAPOLIS ENT SURGERY CENTER LLC 2002 MEDICAL PKWY, SUITE 230A SURGICENTER AT LIGONIER 221 W MAIN ST, C. REX WITHERSPOON SURGERY CENTER 1103 E MONTCLAIR ST, SUITE 110 NORTHWEST JERSEY AMBULATORY SURGERY CENTER, 350 PA SPARTA AVE BLDG A, LANIER EYE ASSOCIATES, LLC 625 S ENOTA DR NE, CHRIS TAYLOR COSMETICS 1425 ROCK SPRINGS RD, MONTEREY PARK OUTPATIENT SURGERY CENTER 201 W GARVEY AVE, STE. 201 NEWNAN FOOT & ANKLE SURGERY CENTER 3231 HWY 34, SUITE B VALLEY FOOT HEALTH SURGICAL CTR 22110 ROSCO BL, # 201 MIDWEST SURGERY CENTER 2080 WOODWINDS DR, THE ENCINO OUTPATIENT SURGERY CENTER 16311 VENTURA BOULEVARD, SUITE 580 ARIZONA SURGICAL ARTS 1245 N. WILMOT ROAD, NAEEM AKHTAR 451 E ALMOND AVE STE 105, ENDOSCOPY CENTER OF BUCKS COUNTY, LP 790 NEWTOWN YARDLEY RD, SUITE 415 IDAHO EYE CENTER PA 2025 E 17TH ST, ISLAND EYE SURGICENTER LLC 255 GLEN COVE RD, WILLS SURGERY CENTER OF THE NORTHEAST 8400 ROOSEVELT BLVD, AMBULATORY SURGICAL CENTER OF SOUTHERN NEVADA, 3820LLC S HUALAPAI WAY, SUITE 100 SAME DAY SURGERY CENTER OF CENTRAL JERSEY L.L.C.225 MAY ST, UNIT C THE DIGESTIVE ENDOSCOPY CENTER OF MICHIGAN, PLLC 6140 HILL 23 DR, SARATOGA SCHENECTADY ENDOSCOPY CENTER, LLC 848 RT. 50, QUINLAN EYE SURGERY & LASER CENTER, P.A. 918 HIGHWAY 69, SMA Informatics Confidential CITY ST ZIP KENT SAN JUAN SANDY FARMINGTON HILLS OVERLAND PARK NEW BRUNSWICK FORT GRATIOT ANNAPOLIS LIGONIER SPRINGFIELD SPARTA GAINESVILLE HARRISON MONTEREY PARK NEWNAN CANOGA PARK WOODBURY ENCINO TUCSON MADERA NEWTOWN IDAHO FALLS CARLE PLACE PHILADELPHIA LAS VEGAS EDISON FLINT BURNT HILLS FORT SCOTT OH PR UT MI KS NJ MI MD PA MO NJ GA AR CA GA CA MN CA AZ CA PA ID NY PA NV NJ MI NY KS 44240 00918 84070 48334 66211 08901 48059 21401 15658 65807 07871 30501 72601 91754 30265 91304 55125 91436 85712 93637 18940 83404 11514 19152 89147 08837 48507 12027 66701 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 110 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1629181136 1629213079 1629222815 1629231782 1629249172 1629254768 1629256961 1629262274 1629262811 1629265715 1629390265 1639105455 1639113921 1639126303 1639134497 1639134505 1639135346 1639142656 1639142706 1639146541 1639148380 1639149255 1639158058 1639158645 1639159916 1639161086 1639164916 1639172828 1639174634 PROVIDER NAME ADDRESS JOON Y. KIM, MD, PC 1000 CORPORATE CENTER DR, STE 180 GOOD SHEPHERD AMBULATORY SURGICAL CENTER 703 E MARSHALL AVE, SUITE 2000 GEORGIA UROLOGY, PA 1501 MILSTEAD RD NE, SUITE 190 PASADENA ADVANCED SURGERY INSTITUTE 1044 S FAIR OAKS AVE, SUITE 110 NORTH STATE SURGERY CENTERS LP 2184 COURT ST, MONTVALE SURGICAL CENTER, LLC 6 CHESTNUT RIDGE RD, BELMONT/HARLEM SURGERY CENTER, LLC 3101 N HARLEM AVE, THE SURGERY CENTER OF THE VILLAGES LLC 17560 SE 109TH TERRACE RD, PREMIER ENDOSCOPY CENTER LLC 1656 MEDICAL BLVD, SUITE 201 HI-DESERT SURGERY CENTER 18002 US HIGHWAY 18, INLAND VALLEY SURGICAL PARTNERS, LLC 2720 N GAREY AVE, ENDOSURGERY OUTPATIENT CENTER 13838 N US HIGHWAY 441, UNIVERSAL AMBULATORY SURGERY CENTER PC 1911 WARM SPRINGS RD, SUITE 1A MISSOULA BONE & JOINT SURGERY CENTER 2360 MULLAN RD, SUITE B EYE ASSOCIATES NORTHWEST, PC 1229 MADISON ST, SUITE 1190 PUEBLO AMBULATORY SURGERY CENTER LIMITED PARTNERSHIP 25 MONTEBELLO RD, SURGERY CENTERS OF DES MOINES LTD 717 LYON ST, GREENSBORO OPHTHALMOLOGY ASC LLC 3312 BATTLEGROUND AVE, AMBULATORY SURGERY CENTER LLC 2831 LONE OAK RD, CENTENNIAL ASC LP 4401 COIT RD, SUITE 100 NORTHWOODS SURGERY CENTER LLC 1230 BALD RIDGE MARINA RD, SUITE 8 COLD SPRINGS MEDICAL SURGICAL GROUP 2323 DE LA VINA ST, SUITE 102 OSS AMBULATORY SURGERY CENTER 1855 POWDER MILL RD, BIG SKY SURGERY CENTER, LLC 2833 FORT MISSOULA RD, GI ENDOSCOPY CENTER, INC 2560 NW MEDICAL PARK DR, ARC OF BELLINGHAM LP 2980 SQUALICUM PKWY, SUITE 202 THE SURGERY CENTER AT SACRED HEART MEDICAL PARK, 36500 DESTIN, EMERALD LLC COAST PKWY, WESTFALL SURGERY CENTER, LLP 1065 SENATOR KEATING BLVD., THE PAIN TREATMENT CENTER, INC. 280 PASADENA DR, SMA Informatics Confidential CITY MORROW LONGVIEW CONYERS PASADENA REDDING MONTVALE CHICAGO SUMMERFIELD NAPLES APPLE VALLEY POMONA LADY LAKE COLUMBUS MISSOULA SEATTLE PUEBLO DES MOINES GREENSBORO PADUCAH FRISCO CUMMING SANTA BARBARA YORK MISSOULA ROSEBURG BELLINGHAM DESTIN ROCHESTER LEXINGTON SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 111 ST ZIP GA TX GA CA CA NJ IL FL FL CA CA FL GA MT WA CO IA NC KY TX GA CA PA MT OR WA FL NY KY 30260 75601 30012 91105 96001 07645 60634 34491 34110 92307 91767 32159 31904 59808 98104 81001 50309 27410 42003 75035 30041 93105 17402 59804 97470 98225 32541 14618 40503 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1639176183 1639177751 1639179914 1639195217 1639203888 1639214778 1639215502 1639220189 1639224827 1639230485 1639237092 1639242506 1639252760 1639261365 1639261407 1639267388 1639268469 1639270341 1639282932 1639287113 1639290026 1639299803 1639317399 1639352347 1639357338 1639365240 1639375108 1639386659 1649208679 PROVIDER NAME ADDRESS BERKS CENTER FOR DIGESTIVE HEALTH, LP 2230 RIDGEWOOD RD, SUITE 101 COLEMAN CATARACT AND EYE LASER SURGERY CENTER, 2005 INCHIGHWAY 82 W, SOUTHERN SURGERY CENTER, LLC 1805 VERNON RD, SUITE C CY FAIR SURGERY CENTER 11250 FALLBROOK DR, VALLEY MEDICAL GROUP, P.C. 31 HALL DR, AMHERST MEDICAL CENTER UNITED SURGERY MEDICAL CENTER, INC. 128 S MONTEBELLO BLVD, BOSTON EYE SURGERY & LASER CENTER TR 52 2ND AVE, SUITE 2500 NORTH BAY MEDICAL GROUP SURGERY CENTER 4415 SONOMA HWY, SUITE B OAK SURGICAL INSTITUTE 403 S KENNEDY DR, CENTRAL MAINE ENDOSCOPY CENTER, LLC 40 AIRPORT RD STE 2, MUSCULOSKELETAL AMBULATORY SURGERY CENTER INC 6015 POINTE WEST BLVD, RENAL INTERVENTION CENTER, LLC 430 MAXINE DR, POST STREET SURGERY, LLC 2299 POST ST, STE. 108 SPECIALISTS ONE DAY SURGERY 190 INTREPID LN, ENDO GROUP, LLC 400 ENDO BLVD, MEDICAL ARTS AMBULATORY SURGERY CENTER 205 S WEST ST, SUITE B VANCOUVER ENT AND ENT OF THE NORTHWEST PLLC 14411 NE 20TH AVE STE 101, EL PASO INSTITUTE OF EYE SURGERY INC 1717 N BROWN, BLDG 3 ATLANTA ENDOSCOPY CENTER 2665 N DECATUR RD, SUITE 545 WILSHIRE AESTHETICS MEDICAL ASSOCIATES SURGERY5757 CENTER, WILSHIRE INC. BLVD, PROMENADE 2 WHITE MARSH SURGERY CENTER SERIES 4924 CAMPBELL BLVD, SUITE 250 MURFREESBORO MEDICAL CLINIC P A 1004 N HIGHLAND AVE, THE NEUROSPINE CENTER, LP 730 EDEN RD., THE KISSIMMEE FL ENDOSCOPY ASC LLC 715 OAK COMMONS BLVD, LAUREL SURGICAL CENTER, LLC 348 DONOHOE RD, SAVANNAHPAIN CENTER 8 WHEELER ST., SUITE 200 HEALING ARTS SURGERY CENTER INC 2700 F. ST, SUITE 101 MIDWEST EYE CONSULTANTS, P.C. 1601 W LINCOLN RD, AKRON SURGICAL ASSOCIATES, LLC 4125 MEDINA RD, SUITE 104 SMA Informatics Confidential CITY WYOMISSING GREENWOOD LAGRANGE HOUSTON AMHERST MONTEBELLO WALTHAM SANTA ROSA BRADLEY WATERVILLE BRADENTON MORTON SAN FRANCISCO SYRACUSE GARDEN CITY VISALIA VANCOUVER EL PASO DECATUR LOS ANGELES NOTTINGHAM MURFREESBORO LANCASTER KISSIMMEE GREENSBURG SAVANNAH BAKERSFIELD KOKOMO AKRON SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 112 ST ZIP PA MS GA TX MA CA MA CA IL ME FL IL CA NY NY CA WA TX GA CA MD TN PA FL PA GA CA IN OH 19610 38930 30240 77065 01002 90640 02451 95409 60915 04901 34209 61550 94115 13205 11530 93291 98686 79902 30033 90036 21236 37130 17601 34741 15601 31405 93301 46902 44333 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1649215765 1649218009 1649219536 1649223124 1649223629 1649224189 1649233180 1649233719 1649244211 1649244567 1649250218 1649251679 1649252883 1649269663 1649270075 1649272881 1649278581 1649287269 1649296807 1649310111 1649322405 1649322496 1649327008 1649330259 1649350844 1649368341 1649375452 1649376757 1649378910 PROVIDER NAME ADDRESS BROUSSARD SURGERY INSTITUTE, INC. 1250 PECANLAND RD, SUITE E-1 RIVER DRIVE SURGERY CENTER, LLC 619 RIVER DRIVE, 1ST FLOOR USC, LLC 4550 INVESTMENT DR, SUITE 100 CAMP LOWELL SURGERY CENTER,LLC 4620 E CAMP LOWELL DR, PAVILION SURGERY CENTER, LLC 920 E 1ST ST, SUITE P-101 ALLEGHENY CENTER FOR AMBULATORY SERVICES 324 EAST ANTIETAM STREET, SUITE 304 WEST PARK SURGERY CENTER, L.P. 4510 MEDICAL CENTER DR, SUITE 150 GI ASC LLC 3998 RED LION RD, SUITE 240 - CANCER CENTER KINGSPORT TN OPHTHALMOLOGY ASC LLC 999 EXECUTIVE PARK BLVD, SUITE 100 LAKELAND FL ENDOSCOPY ASC LLC 3340 LAKELAND HILLS BLVD, LORAIN SURGERY CENTER, LLC 4804 LEAVITT RD, STE B CLOVIS SURGERY CENTER LCC 1820 W 21ST ST, FOUNDATION SURGERY AFFILIATE OF NACOGDOCHES LLC 3610 N UNIVERSITY DR, PHYSICIANS ALLIANCE LC 3241 PERCY DR, NORTHEAST REGIONAL SURGERY CENTER LLC 11 GALLAGHER DR, ORTHOPAEDIC ASSOCIATES OF CENTRAL MARYLAND AMBULATORY 3421 BENSONSRGCL AVE, STE CTRG200 LLC ALPINE SURGICAL CENTER, LLC 4403 HARRISON BLVD, SUITE 3680 BAPTIST PLAZA SURGICARE LP 2011 CHURCH ST, PLAZA I, LOWER LEVEL DOCK SANSUM CLINIC 317 W PUEBLO ST, CROWN POINT SURGERY CENTER, LLC 9397 CROWN CREST BLVD, SUITE 110 INTERNATIONAL SURGICAL INSTITUTE,.A.M.C 9025 WILSHIRE BLVD STE 202, SURGICARE OF ORADELL, INC 555 KINDERKAMACK RD, SURGEM SAMARITAN ENDOSCOPY LLC 3509 NW SAMARITAN DRIVE, SUITE 201 RFAI SURGERY CENTER HAGERSTOWN 1150 PROFESSIONAL CT, SUITE C NORTHERN PLAINS SURGERY CENTER LLC 44 4TH ST S, SURGERY CENTER ENUMCLAW 2820 GRIFFIN AVE, SUITE 100 TRI COUNTY SURGERY CENTER LLC 319 2ND STREET PIKE, ADS HEALTHCARE LLC 6901 W 121ST ST, LOVELAND SURGICAL ENTERPRISES, LLC 2555 E 13TH ST, SUITE 200 SMA Informatics Confidential CITY MONROE ELMWOOD PARK TROY TUCSON DULUTH HAGERSTOWN MCKINNEY PHILADELPHIA KINGSPORT LAKELAND LORAIN CLOVIS NACOGDOCHES CAPE GIRARDEAU PLAINS BALTIMORE OGDEN NASHVILLE SANTA BARBARA PARKER BEVERLY HILLS ORADELL CORVALLIS HAGERSTOWN FARGO ENUMCLAW SOUTHAMPTON OVERLAND PARK LOVELAND SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 113 ST ZIP LA NJ MI AZ MN MD TX PA TN FL OH NM TX MO PA MD UT TN CA CO CA NJ OR MD ND WA PA KS CO 71203 07407 48098 85712 55805 21740 75069 19114 37660 33805 44053 88101 75965 63701 18705 21227 84403 37203 93105 80138 90211 07649 97330 21740 58103 98022 18966 66209 80537 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1649393695 1649407180 1649416231 1649443367 1649456021 1649462409 1649463605 1649467630 1649489832 1649491853 1649500950 1659301794 1659303055 1659312593 1659316917 1659324705 1659327245 1659334191 1659335438 1659336881 1659337194 1659337889 1659338382 1659340404 1659343648 1659344133 1659347623 1659354074 1659356392 PROVIDER NAME ADDRESS COLUMBIA MD ORTHOPAEDIC ASC 10700 CHARTER DR #301, PAIN MDS INC 2525 W CAREFREE HWY, BUILDING 5A SUITE 132 CLINTON PARTNERS, LLC 43475 DALCOMA DR, SKIN SURGERY CENTER OF VIRGINIA, LLC 2510 GASKINS RD, POLARIS SURGERY CENTER, LLC 300 POLARIS PKWY, SUITE 110 OHIO VALLEY AMBULATORY SURGERY CENTER, LLC 608 WASHINGTON BLVD, PRINCETON ORTHOPAEDIC ASSOCIATES II PA 727 STATE RD, SUMMIT AMBULATORY SURGICAL CENTER, LLC 5601 LOCH RAVEN BLVD, SUITE 307 FREMONT SURGICAL CENTER, LLC 840 E 29TH STREET, COOK EYE SURGERY CENTER INC 1300 3RD AVE, NATIONAL AMBULATORY SURGERY CENTER, LLC 15251 NATIONAL AVE, SUITE 207 MEMORIAL HERMANN SURGERY CENTER TEXAS MEDICAL 6400 CENTER, FANNINLLP STREET, SUITE 1500 SURGERY CENTER INC 1101 S COLLEGE RD, HEALTHCARE PARTNERS AFFILIATES 1025 W OLYMPIC BLVD, SUGAR LAND SURGERY CENTER LTD 15300 SOUTHWEST FWY, FOUNDATION SURGERY AFFILIATE OF MIDDLEBURG HEIGHTS, 15345 BAGLEY LLC RD, COSMETIC AND RECONSTRUCTIVE SURGERY CENTER 1700 N WATERFRONT PKWY, BUILDING 200 LAS COLINAS SURGERY CENTER, LTD 4255 N MACARTHUR BLVD, RESTON SURGERY CENTER, LP 1860 TOWN CENTER DR, SUITE G100 MT. OGDEN SURGICAL CENTER LLC 4364 WASHINGTON BLVD, OUTPATIENT SURGICAL CENTER OF PONCA CITY, LLC 400 FAIRVIEW AVE, SUITE 50 CASCADE SURGERY ASSOCIATES 226 AUBURN AVE, SUITE 200 STERLING SURGICAL CENTER LLC 303 STERLING DRIVE, LITTEL ROCK SURGERY CENTER, LLC 8820 KNOEDL CT, SWAGEL WOOTTON EYE CENTER, LTD 220 S 63RD ST, NORTHSIDE GASTROENTEROLOGY ENDOSCOPY CENTER8424 LLC NAAB RD, SUITE 3-G CHOCTAW NATION OF OKLAHOMA 1 CHOCTAW WAY, SPECIALTY SURGERY CENTER, PLLC 116 BROWN AVE, LASER & CATARACT CENTER OF SHREVEPORT LLC 445 ASHLEY RIDGE BLVD, SMA Informatics Confidential CITY ST COLUMBIA MD PHOENIX AZ CLINTON TOWNSHIP MI HENRICO VA WESTERVILLE OH BELPRE OH PRINCETON NJ BALTIMORE MD FREMONT NE HUNTINGTON WV LOS GATOS CA HOUSTON TX LAFAYETTE LA LOS ANGELES CA SUGAR LAND TX MIDDLEBURG HEIGHTS OH WICHITA KS IRVING TX RESTON VA OGDEN UT PONCA CITY OK AUBURN WA ORCHARD PARK NY LITTLE ROCK AR MESA AZ INDIANAPOLIS IN TALIHINA OK CROSSVILLE TN SHREVEPORT LA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 114 ZIP 21044 85085 48038 23238 43082 45714 08540 21239 68025 25701 95032 77030 70503 90015 77478 44130 67206 75038 20190 84403 74601 98002 14127 72205 85206 46260 74571 38555 71106 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1659360071 1659360303 1659363844 1659365013 1659375632 1659377042 1659377166 1659378800 1659384329 1659385540 1659388247 1659408300 1659409241 1659420727 1659422467 1659426385 1659431781 1659443042 1659444131 1659446425 1659451078 1659457760 1659463669 1659473924 1659509164 1659516375 1659517019 1659519684 1659525020 PROVIDER NAME ADDRESS EAST TENNESSEE AMBULATORY SURGERY CENTER LLC 701 MED TECH PKWY, ST JOHNS SURGERY CENTER 8901 CONFERENCE DR, LASER & SURGERY CENTER OF ACADIANA 514 SAINT LANDRY ST, HANS LEE MD INC 1306 KANAWHA BLVD E, SUITE 100 SOUTH SHORE AMBULATORY SURGERY CENTER 444 MERRICK RD, STE 400 BEY LEA AMBULATORY SURGICAL CENTER 54 BEY LEA RD, BLDG 2 FOOT SURGI-CENTER OF OWINGS MILLS, LLC 25 CROSSROADS DR, STE 410 CITYVIEW SURGERY CENTER, LTD. 6551 HARRIS PKWY, SUITE 100 THE ENDOSCOPY CENTER 1139 LEXINGTON AVE, STE B THE DIAGNOSTIC & TREATMENT CENTER, LLC 3401 CRANBERRY BLVD, EAST YORK EYE SURGICAL CENTER LP 2300 PLEASANT VALLEY RD BLDG 3, CENTRE AVENUE GROUP, LLC 5800 CENTRE AVE, EYE SURGERY CENTER 1408 E BARNETT RD, THE ENDOSCOPY CENTER, INC. 2820 MOUNT RUSHMORE RD, TOWN PARK SURGERY CENTER 9901 TOWN PARK DR, FORSYTH STREET AMBULATORY SURGERY CENTER LLC 1610 FORSYTH ST, HIGH POINT ENDOSCOPY CENTER, INC. 624 QUAKER LN, SUITE C106 HALLANDALE OUTPATIENT SURGICAL CENTER,LTD 306 E HALLANDALE BEACH BLVD, THE ENDOSCOPY CENTER, LLC 134 PUUHONU WAY, DIGESTIVE AND LIVER CENTER OF MELBOURNE 25 E SILVER PALM AVE, SUITE B ACADEMY ORTHOPEDICS, LLC 318 TRIBBLE GAP RD, MT AIRY AMBULATORY ENDOSCOPY SURGERY CENTER6827-31 GERMANTOWN AVE, ARUSHA LLC 460 CREAMERY WAY, SUITE 100 MID-AMERICA SURGERY INSTITUTE LLC 5525 WEST 119TH STREET, SUITE 100 EAST POND ENTERPRISES INC 40 INDUSTRIAL PARK RD, GREATER NY ENDOSCOPY SURGICAL CENTER 2211 EMMONS AVE, SURGERY CENTER OF PEMBROKE PINES, LLC 7261 SHERIDAN ST, SOUTH CAMPUS SURGERY CENTER 1550 E COUNTY LINE RD, GLASTONBURY ENDOSCOPY CENTER, LLC 300 WESTERN BLVD, BLDG., D, SUITE 100 SMA Informatics Confidential CITY ST JOHNSON CITY TN FORT MYERS FL LAFAYETTE LA CHARLESTON WV LYNBROOK NY TOMS RIVER NJ OWINGS MILLS MD FORT WORTH TX SAVANNAH GA WESTON WI YORK PA PITTSBURGH PA MEDFORD OR RAPID CITY SD HOUSTON TX MACON GA HIGH POINT NC HALLANDALE BEACH FL HILO HI MELBOURNE FL CUMMING GA PHILADEPPHIA PA EXTON PA OVERLAND PARK KS PLYMOUTH MA BROOKLYN NY HOLLYWOOD FL INDIANAPOLIS IN GLASTONBURY CT SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 115 ZIP 37604 33919 70506 25301 11563 08753 21117 76132 31404 54476 17402 15206 97504 57701 77036 31201 27262 33009 96720 32901 30040 19119 19341 66209 02360 11235 33024 46227 06033 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1659526457 1659528461 1659548329 1659574283 1659594190 1659594307 1659609311 1669405684 1669414306 1669414868 1669415451 1669424339 1669426706 1669426839 1669427043 1669427068 1669428983 1669437109 1669437497 1669446852 1669460002 1669465068 1669465209 1669466975 1669467528 1669474748 1669475570 1669477899 1669481255 PROVIDER NAME ADDRESS NORWOOD ENDOSCOPY CENTER, LLC 4746 MONTGOMERY RD, SUITE 100 MONTGOMERY COUNTY MANAGEMENT COMPANY, LLC 9305 PINECROFT, PACIFIC CATARACT AND LASER INSTITUTE INC PC 2205 NE 129TH ST, PROVIDENCE VENTURES, LLC 47601 GRAND RIVER AVE, THE PAIN RELIEF SURGICENTER, INC. 4100 DUVAL ROAD, BLDG 3 STE 100 EYE SURGERY CENTER OF NORTHERN NEVADA, LLC 5420 KIETZKE LN, SUITE 103 RIVERLAKES SURGERY CENTER LLC 7508 MEANY AVE STE B, PCAS INC. 665 CAMINO DE LOS MARES, SUITE 100C FREEDOM VISION SURGERY CENTER LLC 16255 VENTURA BLVD, #100 PARKRIDGE SURGERY CENTER, LLC 190 PARKRIDGE DR, SUITE 108 BOUNTIFUL SURGERY CENTER LLC 620 MEDICAL DR, SUITE 200 ARKANSAS GASTROENTEROLOGY ENDOSCOPY CENTER151 MCGOWAN CT, ADVANCED SURGERY CENTER, LLC 9420 KEY WEST AVE, SUITE 104 NORTH VALLEY SURGEERY CENTER 9522 E SAN SALVADOR DR, VANCOUVER EYE CARE SURGERY CENTER 17720 SE MILL PLAIN BLVD, SUITE 100 EYE SURGERY CENTER OF WESTCHESTER 838 PELHAMDALE AVE, CENTER FOR SPINE & PAIN MEDICINE, PC 1413 CHATTANOOGA AVE, MARIETTA OUTPATIENT SURGERY, LTD 780 CANTON RD NE, SUITE 100 CASCADE SURGICENTER, LLC 2200 NE NEFF ROAD,, SUITE 100 VOORHEES NJ ENDOSCOPY ASC LLC 2301 E EVESHAM RD, BLDG 800, SUITE 216 CARSON ENDOSCOPY CENTER,LLP 707 N MINNESOTA ST, BAY AREA ENDOSCOPY CENTER, LC 444 FM 1959 RD, STE B FSA OF HUNTINGDON VALLEY 1800 BYBERRY RD, BUILDING 1010 SAN ANTONIO DIGESTIVE DISEASE CONSULTANTS ENDOSCOPY 1804 N.E.CENTER LOOP 410, INC SUITE # 101 FOUNDATION SURGERY CENTER OF DICKINSON, LLP 3810 HUGHES CT, ARC KENTUCKY LLC 4004 DUPONT CIR, OCEANVIEW PAIN TREATMENT MEDICAL CENTER, INC.2650 ELM AVE, # 216 MUNCIE CATARACT & LASER EYE CENTER, LLC 3300 W PURDUE AVE, SURGERY CENTER OF CULLMAN LLC 1403 WALL STREET NE, SMA Informatics Confidential CITY ST NORWOOD OH THE WOODLANDS TX VANCOUVER WA NOVI MI AUSTIN TX RENO NV BAKERSFIELD CA SAN CLEMENTE CA ENCINO CA COLUMBIA SC BOUNTIFUL UT HOT SPRINGS AR ROCKVILLE MD SCOTTSDALE AZ VANCOUVER WA NEW ROCHELLE NY DALTON GA MARIETTA GA BEND OR VOORHEES NJ CARSON CITY NV HOUSTON TX HUNTINGDON VALLEYPA SAN ANTONIO TX DICKINSON TX LOUISVILLE KY LONG BEACH CA MUNCIE IN CULLMAN AL SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 116 ZIP 45212 77380 98686 48374 78759 89511 93308 92673 91436 29212 84010 71913 20850 85258 98683 10801 30720 30060 97701 08043 89703 77034 19006 78217 77539 40207 90806 47304 35055 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1669483137 1669496345 1669531109 1669533568 1669539193 1669540118 1669545471 1669559928 1669577342 1669577524 1669585964 1669586376 1669612990 1669627634 1669628707 1669644837 1669647210 1669660817 1669668281 1669668943 1669675740 1669687513 1669701157 1669705034 1679503692 1679504690 1679521389 1679523351 1679526297 PROVIDER NAME ADDRESS CITY ST PHYSICIANS AMBULATORY SURGERY CENTER INC 300 CLYDE MORRIS BLVD, SUITE B ORMOND BEACH FL MNGI ENDOSCOPY ASC INC 2550 UNIVERSITY AVE W, SUITE 423 SOUTH SAINT PAUL MN ASSOCIATED SURGICAL CENTER, P.C. 24430 FORD RD, DEARBORN HEIGHTS MI ATLANTA SOUTH ENDOSCOPY CENTER, LLC 34 UPPER RIVERDALE RD SE, SUITE 201 RIVERDALE GA TROCKI PLASTIC SURGERY CENTER 631 TILTON RD, NORTHFIELD NJ STEVENS KIM MD AND STEPHEN LIN MD MEDICAL GROUP 36 W INC YOKUTS AVE, SUITE 3 STOCKTON CA VIRGINIA BEACH EYE CENTER PC 465 N GREAT NECK RD, VIRGINIA BEACH VA SENATE STREET SURGERY CENTER LLC 1701 SENATE BLVD, SUITE 338 INDIANAPOLIS IN SAN FRANCISCO PAIN MANAGEMENT GROUP INC 369 CALLE DE DIEGO, SUITE #303 TORRE HOSPITALSAN SANJUAN FRANCSICO PR SKIN & MOHS SURGERY CENTER 11550 GRANADA LN, LEAWOOD KS WEST LAS VEGAS SURGERY 2020 GOLDRING AVE, #300 LAS VEGAS NV JEFFERSON AMBULATORY SURGERY CENTER LLC 2701 LAKE VILLA DR, METAIRIE LA TRI-STATE SURGERY CENTER LLC 3 WINSLOW PL, 1ST FLOOR PARAMUS NJ LONG ISLAND HAND & ORTHOPEDIC SURGERY CENTER,166 LLCE MAIN ST, HUNTINGTON NY CHEROKEE NATION 100 S BLISS AVE, TAHLEQUAH OK UPTOWN HEALTHCARE MANAGEMENT, INC. 930 E TREMONT AVE, BRONX NY SAINT VINCENT ENDOSCOPY CENTER LLC 2501 W 12TH ST, SUITE 8 ERIE PA SPH IRVINE, L.L.C. 18952 MACARTHUR BLVD, SUITE 103 IRVINE CA YUMA REGIONAL OUTPATIENT SURGICAL CENTER LLC 2261 S AVENUE B, YUMA AZ POOLE ENDOSCOPY CENTER 826 WASHINGTON RD, SUITE 218 WESTMINSTER MD DIGESTIVE HEALTH, INC 23250 CHAGRIN BLVD, SUITE 110 BEACHWOOD OH TOWER OUTPATIENT SURGERY CENTER 8635 W 3RD ST STE 1085, LOS ANGELES CA GLASTONBURY SURGERY CENTER 195 EASTERN BLVD, GLASTONBURY CT EYE SPECIALISTS SURGERY CENTERS, LLC 200 N TILLOTSON AVE, MUNCIE IN THE CENTER FOR ORTHOPEDIC MEDICINE, LLC 2502 B. EAST EMPIRE STREET, BLOOMINGTON IL SANTA CLARITA SURGERY CENTER LP 26357 MCBEAN PKWY STE 100, SANTA CLARITA CA WESLEY OPHTHALMIC PLASTIC SURGERY CENTER 1800 CHURCH ST., SUITE 150 NASHVILLE TN SURGERY CENTER OF PORT CHARLOTTE LTD 21260 OLEAN BLVD, SUITE 105 PORT CHARLOTTE FL WEST BLOOMFIELD SURGERY CENTER, LLC 2300 HAGGERTY RD, SUITE 1000 WEST BLOOMFIELD MI SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 117 ZIP 32174 55114 48127 30274 08225 95207 23454 46202 00923 66211 89104 70002 07652 11743 74464 10460 16505 92612 85364 21157 44122 90048 06033 47304 61704 91355 37203 33952 48323 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1679528772 1679531610 1679534614 1679535587 1679539688 1679542419 1679544050 1679544290 1679545784 1679554349 1679556864 1679566228 1679566582 1679570022 1679570774 1679577167 1679585772 1679591515 1679595680 1679599062 1679602544 1679612253 1679644017 1679649354 1679656714 1679658710 1679662001 1679686505 1679687586 PROVIDER NAME ADDRESS CITY ST JOSEPH SURGERY & LASER CENTER INC 436 S GLASSELL ST, ORANGE BOSTON UNIVERSITY EYE ASSOCIATES, INC. 90 NEW STATE HWY, RAYNHAM COURTYARD SURGERY PAVILION, INC 112 N AKERS ST, SUITE B VISALIA CARIBBEAN SURGERY CENTER 8024 CALLE CONCORDIA, STE 100 URB SANTA MARIA PONCE NORTHERN ARIZONA EYE ASSOCIATES 900 N SAN FRANCISCO ST, FLAGSTAFF TRI-COUNTY OUTPATIENT SURGICAL FACILITY, INC. 2913 FREEPORT RD, NATRONA HEIGHTS TUSCALOOSA SURGICAL CENTER LP 1400 MCFARLAND BLVD NORTH, TUSCALOOSA KEYSTONE SURGERY CENTER, LTD 575 E NORWEGIAN ST, POTTSVILLE MOUNTAIN WEST GASTROENTEROLOGY ASC LLC 6360 S 3000 E, SUITE 320 SALT LAKE CITY SOUTH TEXAS EYE SURGICENTER INC 4406 N LAURENT, VICTORIA DOCTORS GI PARTNERSHIP LTD 1051 S HICKORY ST, SUITE K MELBOURNE AMBULATORY FOOT AND ANKLE CENTER, INC. 3801 INTERNATIONAL DR, SUITE 204 SILVER SPRING FOREST CANYON ENDOSCOPY AND SURGERY CENTER 560 N SWITZER CANYON DR, FLAGSTAFF CLEVELAND AMBULATORY SERVICES, LLC 1100 N LAFAYETTE ST, SHELBY NOVAMED SURGERY CENTER OF MADISON, LIMITED PARTNERSHIP 1200 JOHN Q HAMMONS DR, SUITE 102 MADISON WHITEHALL SURGERY CENTER 4850 E MAIN ST, WHITEHALL MEDICAL CENTER ENDOSCOPY, LLP 6560 FANNIN ST, SUITE 600 HOUSTON TWIN LAKES SURGERY CENTER 1890 LPGA BLVD, SUITE 200 DAYTONA BEACH SURGERY CENTER OF LEBANON, LP 1840 QUENTIN RD, LEBANON AMBULATORY PLASTIC SURGERY CENTER, INC. 2522 WARM SPRINGS RD, STE. B COLUMBUS UNIVERSITY MEDICAL SERVICE ASSOCIATION INC 13330 USF LAUREL DRIVE, 2ND FLOOR TAMPA WALKER SURGICAL CENTER LLC 3300 WALKER VIEW DR. NW, WALKER FLATIRONS SURGERY CENTER, LLC 70 HEALTH PARK DRIVE, LOUISVILLE OHIO PERMANENTE MEDICAL GROUP INC 12301 SNOW ROAD, PARMA LITTLETON DAY SURGERY CENTER 8381 SOUTHPARK LN, LITTLETON STADIUM CAMPUS AMBULATORY SURGICAL CENTER, LLC 3340 S BROAD ST, PHILADELPHIA WEBSTER SURGICAL CENTER OF TALLAHASSEE LLC. 2048 CENTRE POINTE LN, TALLAHASSEE PERMIAN ENDOSCOPY CENTER 315 E 5TH ST, ODESSA SALEM GASTROENTEROLOGY ASSOCIATES PA 1830 S HAWTHORNE ROAD, WINSTON-SALEM SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 118 ST ZIP CA MA CA PR AZ PA AL PA UT TX FL MD AZ NC WI OH TX FL PA GA FL MI CO OH CO PA FL TX NC 92866 02767 93291 00717 86001 15065 35406 17901 84121 77901 32901 20906 86001 28150 53717 43213 77030 32117 17042 31904 33612 49544 80027 44130 80120 19145 32308 79761 27103 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1679687594 1679694004 1679694392 1679696157 1679704456 1679706790 1679728901 1679737043 1679742050 1679742316 1679750285 1679757959 1679791404 1679797237 1679894505 1689604886 1689605354 1689605826 1689608697 1689618704 1689624793 1689627283 1689632051 1689633588 1689634891 1689635757 1689636219 1689639262 1689639692 PROVIDER NAME ADDRESS PLASTIC & HAND SURGICAL ASSOCIATES 244 WESTERN AVENUE, GI SPECIALISTS LLC 1111 DELAFIELD ST, SUITE 322 DIRECTED INTERVENTIONAL SURGERY CENTER 2827 WILSHIRE BLVD, ORTHOPEDIC HEALTHCARE ANCILLARY SERVICES, LLC 55 COBURG RD, ORLANDO ORTHOPAEDIC OUTPATIENT SURGERY CENTER 45 W LLCCRYSTAL LAKE ST, SUITE 300 DIGESTIVE DISEASE CENTER-GREEN VALLEY 1647 WINDMILL LANE, SUITE 110 ESSEX SPECIALIZED SURGICAL INSTITUTE LLC 475 PROSPECT AVE, FRIENDSHIP SURGERY CENTER 5005 FRIENDSHIP RD, SUITE 200 TUBA CITY REGIONAL HEALTH CARE CORPORATION 167 NORTH MAIN STREET, LAKE FOREST ENDOSCOPY CENTER LLC 1475 E BELVIDERE RD, SUITE 303 CHARLES COUNTY SURGICAL CENTER, L.L.C. 4225 ALTAMONT PL, THIRD FLOOR UNIT 3 THOMAS JOHNSON SURGERY CENTER, LLC 197 THOMAS JOHNSON DR, SILVER SUMMIT MEDICAL CORP 1408 COMMERCIAL WAY, SAINT LOUIS CONNECTCARE 5535 DELMAR BLVD, AP SURGERY CENTER LLC 1321 INTERSTATE PKWY, SOUTH COUNTY OUTPATIENT SURGERY CENTER, LLC 16244 MILITARY TRL, SUITE 670 BIG ISLAND ENDOSCOPY CENTER, LLC 64-5188 KINOHOU ST, LAUREL SURGERY & ENDOSCOPY CENTER, LLC 1710 W 12TH ST, ADVANCED COLON CARE, INC 929 BOSTON POST RD, SUITE 1 FOUNDATION SURGERY AFFILLIATE OF GRAYSON COUNTY, 3603LLC CALAIS DRIVE, SURGERY CENTER OF SOUTHWEST FLORIDA 12631 WHITEHALL DR, AMBULATORY SURGICAL CENTER OF NEW JERSEY,LLC 5 PROGRESS ST, SUITE 2 ROSS SURGERY CENTER 50 NORTH PLAZA BLVD, SOUTH JERSEY ENDOSCOPY LLC 26 EAST RED BANK AVE, SAN MATEO ENDOSCOPY CENTER 50 S SAN MATEO DR, # 400 ATLANTICARE SURGERY CENTER LLC 2500 ENGLISH CREEK AVE, SUITE 100 BUILDING A FLORIDA OUTPATIENT SURGERY CENTER LTD 180 BOSTON AVE, OAKWOOD SURGERY CENTER, LTD., LLP 2250 ROUND ROCK AVE, SURGICAL CENTER OF SOUTH JERSEY LIMITED PARTNERSHIP 130 GAITHER DR, SUITE 160 SMA Informatics Confidential CITY ST SOUTH PORTLAND ME WAUKESHA WI SANTA MONICA CA EUGENE OR ORLANDO FL LAS VEGAS NV WEST ORANGE NJ BUFORD GA TUBA CITY AZ GRAYSLAKE IL WHITE PLAINS MD FREDERICK MD BAKERSFIELD CA SAINT LOUIS MO AUGUSTA GA DELRAY BEACH FL KAMUELA HI LAUREL MS OLD SAYBROOK CT SHERMAN TX FT MYERS FL EDISON NJ CHILLICOTHE OH WOODBURY NJ SAN MATEO CA EGG HARBOR TOWNSHIP NJ ALTAMONTE SPRINGSFL ROUND ROCK TX MOUNT LAUREL NJ SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 119 ZIP 04106 53188 90403 97401 32806 89123 07052 30518 86045 60030 20695 21702 93309 63112 30909 33484 96743 39440 06475 75090 33907 08820 45601 08096 94401 08234 32701 78681 08054 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1689643322 1689646937 1689651481 1689652638 1689655334 1689655631 1689657058 1689666596 1689667248 1689669418 1689670390 1689672461 1689674285 1689679508 1689679680 1689682247 1689693970 1689695231 1689695959 1689699597 1689726424 1689735250 1689736118 1689748758 1689749350 1689751752 1689751976 1689755894 1689755928 PROVIDER NAME ADDRESS EYE SURGERY CENTER OF ALBANY, LLC 2308C PALMYRA RD, OCALA ENDOSCOPY ASC LP 1160 SE 18TH PL, TETON OUTPATIENT SERVICES, LLC 150 BUFFALO WAY, INSTITUTE OF ORTHOPAEDIC SURGERY LLC 2800 E DESERT INN RD, SUITE 150 EVERGREEN SURGERY CENTER, LLC 12333 NE 130TH LN, SUITE 500 SURGICAL CENTER OF CREVE COEUR 633 EMERSON RD, STE 140 CENTER FOR ADVANCED EYE SURGERY 1031 W WESTERN RESERVE RD, MENOMONEE FALLS AMBULATORY SURGERY CENTER W180N8045 TOWN HALL RD, SUNSET HILLS AMBULATORY SURGERY CENTER, LP 12399 GRAVOIS RD, SUITE 102 DIAGNOSTIC ENDOSCOPY, LLC 778 LONG RIDGE RD, WILLIAMS EYE SURGERY CENTER 6836 HOHMAN AVE, NOVAMED PAIN MANAGEMENT OF NEW ALBANY, LLC 520 W 1ST ST, CENTRAL OHIO SURGICAL INSTITUTE 6520 W CAMPUS OVAL, BLOOMINGTON ENDOSCOPY CENTER, LLC 550 S LANDMARK AVE, OSC-HMHP, LLC 6505 MARKET STREET, BUILDING B, SUITE 101 ST PETERSBURG ENDOSCOPY CENTER 1099 5TH AVE N, SUITE 100 CONNECTICUT EYE SURGERY CENTER SOUTH LLC 60 WELLINGTON RD, AESTHETIC EYE ASSOC AMBULATORY SURGEYR CNTR 625 4TH AVE, STE 301 COASTAL BEND AMBULATORY SURGICAL CENTER 900 MORGAN AVE, NAPA SURGERY CENTER LLC 3444 VALLE VERDE DR, SURGICARE OF ENGLEWOOD CLIFFS, INC 630 PALISADE AVE, VISION CORRECTION CENTER 1406 MCFARLAND BLVD N, SUITE 2B VOA AMBULATORY SURGERY CENTER 3527 B NORTH VALDOSTA ROAD, PARK AVENUE SURGERY CENTER LLC 1800 EMERSON ST, STE 200 COLUMBIA UROLOGICAL SURGICAL CENTER, L.L.C. 11085 LITTLE PATUXENT PKWY, SUITE 204 HOWARD J GROSS MD, PA 9701 VENTNOR AVE, TOWER SPECIALTY SURGERY L.L.C. 1400 HIGHLAND RD, SUITE # 2 SKIN SURGERY CENTER PS 1551 116TH AVE NE, CANYON AMBULATORY SURGERY CENTER, LLC 6036 N 19TH AVE, SUITE 100 SMA Informatics Confidential CITY ST ALBANY GA OCALA FL JACKSON WY LAS VEGAS NV KIRKLAND WA CREVE COEUR MO POLAND OH MENOMONEE FALLS WI SAINT LOUIS MO STAMFORD CT HAMMOND IN NEW ALBANY IN NEW ALBANY OH BLOOMINGTON IN BOARDMAN OH ST PETERSBURG FL MILFORD CT KIRKLAND WA CORPUS CHRISTI TX NAPA CA ENGLEWOOD CLIFFS NJ TUSCALOOSA AL VALDOSTA GA DENVER CO COLUMBIA MD MARGATE CITY NJ RICHMOND IN BELLEVUE WA PHOENIX AZ SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 120 ZIP 31701 34471 83001 89121 98034 63141 44514 53051 63127 06902 46324 47150 43054 47403 44512 33705 06460 98033 78404 94558 07632 35406 31602 80218 21044 08402 47374 98004 85015 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1689761546 1689763617 1689766131 1689775108 1689795312 1689814998 1689832438 1689842395 1689843963 1689850737 1689852618 1689860124 1689863771 1689869422 1699702050 1699702068 1699703991 1699711382 1699711556 1699720573 1699732131 1699736777 1699738112 1699738872 1699742676 1699743393 1699745067 1699748855 1699751289 PROVIDER NAME ADDRESS GATEWAY AMBULATORY SURGERY CENTER LLC 1025 NORTHEAST GATEWAY COURT NE, CENTER FOR SURGERY OF NORTH COAST LP 477 N EL CAMINO REAL STE C100, U.P. DIGESTIVE DISEASE ASSOC. P.C. 1414 W FAIR AVE, SUITE 135 BEVERLY HILLS DOCTORS SURGERY CENTER 120 S SPALDING DR STE 315, PACIFIC PALISADES SURGERY CENTER AND MEDICAL GROUP 2021 SANTA INC MONICA BLVD, SUITE 724E PUGET SOUND SURGICAL CENTER 21911 76TH AVE W, SUITE 106 INOVA WOODBURN SURGERY CENTER LLC 3289 WOODBURN ROAD, AURORA SURGERY CENTER, LLC 1451 44TH AVE S, SUITE 221D PAIN-MDS AMBULATORY SURGICAL CENTER, LLC 16222 N. 59TH AVE, SUITE A-115 AMBULATORY GENERAL SURGERY CENTER 9715 MEDICAL CENTER DR STE 435, MILLARD FILLMORE SURGERY CENTER, LLC 215 KLEIN RD, PINE GROVE AMBULATORY SURGICAL 10 TIMBERVIEW LANE, CAROLINA SURGERY CENTER LLC 2536 LENGERS WAY, WILLAMETTE VALLEY EYE SURGICENTER 2001 COMMERCIAL ST SE, VIRGINIA MASON MEDICAL CENTER 222 112TH NE STE 101, BARNET DULANEY PERKINS EYE CENTER 1030 N SAN FRANCISCO ST, SUITE 130 PLAZA SURGICAL MEDICAL CENTER 850 S ATLANTIC BLVD, SUITE 201 TOWSON SURGICAL CENTER, LLC 1122 KENILWORTH DR, SUITE 17 RICHARD B MEISTER MD 5959 GREENBACK LN, 310 NARINDER S. GREWAL, M.D., A MEDICAL CORPORATION 23861 MCBEAN PKWY, SUITE A-2 ANTELOPE VALLEY SURGERY CENTER LP 44301 N LORIMER AVE, EXECUTIVE PARK SURGERY CENTER, LLC 3314 S 70TH ST, NORTH AUSTIN SURGERY CENTER, L.P. 12201 RENFERT WAY, SUITE 120 NORTHERN NEVADA AMBULATORY SURGICAL CENTER 5411 LLC KIETZKE LANE, PARKWAY SURGERY CENTER, LTD 3500 EXECUTIVE PKWY, YORK ENDOSCOPY CENTER L.P. 2690 SOUTHFIELD DR, NIAGARA HEALTH CENTER 1601 ROOSEVELT RD, MIDDLETOWN ENDOSCOPY ASC LLC 257 N BREIEL BLVD, EASTLAND MEDICAL PLAZA SURGICENTER, LLC 1505 EASTLAND DR, SMA Informatics Confidential CITY CONCORD ENCINITAS MARQUETTE BEVERLY HILLS SANTA MONICA EDMONDS ANNANDALE GRAND FORKS GLENDALE ROCKVILLE WILLIAMSVILLE RUSSELL FORT MILL SALEM BELLEVUE FLAGSTAFF MONTEREY PARK TOWSON CITRUS HEIGHTS VALENCIA LANCASTER FORT SMITH AUSTIN RENO TOLEDO YORK NIAGARA MIDDLETOWN BLOOMINGTON SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 121 ST ZIP NC CA MI CA CA WA VA ND AZ MD NY PA SC OR WA AZ CA MD CA CA CA AR TX NV OH PA WI OH IL 28025 92024 49855 90212 90404 98026 22003 58201 85306 20850 14221 16345 29707 97302 98004 86001 91754 21204 95621 91355 93534 72903 78758 89511 43606 17403 54151 45042 61701 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1699759035 1699759399 1699768713 1699770545 1699777540 1699780247 1699806018 1699813774 1699817346 1699818237 1699819177 1699819979 1699847715 1699853812 1699855213 1699855973 1699863258 1699875450 1699943290 1699959387 1699982421 1700024817 1700042942 1700057254 1700076783 1700089695 1700093044 1700807617 1700815552 PROVIDER NAME ADDRESS DAY SURGERY & RECOVERY CENTER 1506 PROFESSIONAL COURT, DALLAS OPHTHALMOLOGY CENTER INC 4633 N CENTRAL EXPY, SUITE 310 ADVANCED PAIN MANAGEMENT 39700 BOB HOPE DR, SUITE 204 BIG BEND OPERATIONS 555 N BYRON BUTLER PKWY, SURGERY CENTER OF TEMPE, LLC 1940 E. 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Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 122 ST ZIP GA TX CA FL AZ CA TX PA WA VA TX TX WI OH CA NJ CA AK AZ CA CA TX WY CA TX GA GA CO OH 30720 75205 92270 32347 85282 91405 75034 16635 98371 23462 75235 75701 53545 44139 90404 08701 92056 99508 85224 92108 90602 78596 82716 96001 77030 31768 31201 80026 44236 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1700816733 1700822335 1700828423 1700832029 1700838190 1700838471 1700839628 1700842358 1700842507 1700843208 1700843539 1700854072 1700856242 1700871621 1700876703 1700879467 1700881539 1700881745 1700882271 1700884608 1700887155 1700888658 1700921251 1700943958 1700963725 1700966710 1700967106 1700980406 1700985397 PROVIDER NAME ADDRESS ADVANCED ENDOSCOPY CENTER 386 W OLIVE AVE, SUITE B MOJSTRANA LTD 1367 DOMINION PLAZA, SOUTHWESTERN EYE CENTER 75 COLONIA DE SALUD, #A100 SJH SURGICENTER, LLC 172 KINSLEY ST, WALNUT HILL SURGERY CENTER, L.P. 5494 GLEN LAKES DR, SANTA CRUZ SURGERY CENTER 3003 PAUL SWEET RD, ENDOSCOPY CENTER OF LAS CRUCES 2407 S TELSHOR BLVD, EYE SURGERY CENTER OF THE CAROLINAS LP 2170 MIDLAND RD, ARCADIA OUTPATIENT SURGERY LP 614 W DUARTE RD, FAYETTEVILLE AMBULATORY SURGERY CENTER LIMITED1781 PARTNERSHIP METROMEDICAL DR, SURGERY CENTER OF OKEECHOBEE 1655 HWY 441 NORTH, SULLIVAN SURGICENTER,LLC 320 N SECTION ST, SOUTHERN OHIO EYE SURGERY CENTER, LLC 159 E. SECOND ST, NAUGATUCK VALLEY SURGICAL CENTER 160 ROBBINS ST, RIVERSIDE SURGERY CENTER INC 14410 US HIGHWAY 1, THE IOWA CLINIC ENDOSCOPY CENTER LLC 5950 UNIVERSITY AVE, STE 180 ARTURO E BETAN COURT, MD, PA 200 HOSPITAL DR, STE 600 SYCAMORE SPRINGS SURGERY CENTER, LLC 4715 STATESMEN DR, STE A G.A.B. 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Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 123 ST ZIP CA TX AZ NH TX CA NM NC CA NC FL IN OH CT FL IA MD IN TX AL TX FL NJ GA NV MI MI MI CA 95348 75703 85635 03060 75231 95065 88011 28387 91007 28304 34972 47882 45601 06708 32958 50266 21061 46250 78215 36608 79601 33326 07052 31605 89448 49024 49525 48026 92130 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1700994290 1710012869 1710032842 1710037452 1710038534 1710047188 1710057534 1710060751 1710071519 1710071543 1710079470 1710081443 1710085154 1710091517 1710094149 1710107743 1710114293 1710115472 1710120688 1710127774 1710151063 1710163670 1710177795 1710201538 1710213400 1710904537 1710904701 1710910922 1710924089 PROVIDER NAME ADDRESS CITY CHARLES BAMBERGER 418 S HENDERSON ST, FORT WORTH SHADELANDS SURGERY CENTER, LLC 100 N WIGET LN, SUITE #110 WALNUT CREEK MSC AMBULATORY SURGICAL CENTER 77 THOMAS JOHNSON DR, STE E FREDERICK ILLINOIS SPORTS MEDICINE & ORTHOPEDIC SURGERY CENTER, 9000 WAUKEGAN LLC RD, SUITE 120 MORTON GROVE OUTPATIENT SURGICAL SPECIALTIES CENTER, LLC 11704 W CENTER RD, SUITE 110 OMAHA ARROWHEAD ENDOSCOPY AND PAIN MANAGEMENT CENTER 18699 NLLC 67TH AVE, SUITE 140 GLENDALE NOVAMED SURGERY CENTER OF SEBRING LLC 3601 S HIGHLANDS AVE, SEBRING BAY AREA SURGICAL GROUP, INC. 2222 LAFAYETTE ST, SANTA CLARA BRANDON AMBULATORY SURGERY CENTER LC 514 EICHENFELD DRIVE, BRANDON COASTAL BEND SURGERY CENTER, LTD. 5837 SPOHN DR, CORPUS CHRISTI SURGERY CENTER OF POTOMAC LLC 3203 TOWER OAKS BLVD, #100 ROCKVILLE VENTURA ENDOSCOPY CENTER LLC 5810 RALSTON STREET, SUITE 101 VENTURA NORTHERN CALIFORNIA KIDNEY STONE CENTER INC 16400 LARK AVE, STE 100 LAS GATOS HERSHEY OUTPATIENT SURGERY CENTER LP 15 HOPE DRIVE, HERSHEY GRISHAM EYE ASSOCIATES PC 3615 SE KENTUCKY ST, BARTLESVILLE BLUEMOUND SURGERY CENTER N4W22370 BLUEMOUND RD, WAUKESHA RIVERVIEW SURGERY CENTER AT THE NAVY YARD LP THREE CRESCENT DRIVE, NAVY YARD CORPORATE CENTER PHILADELPHIA BALTIMORE WASHINGTON ORAL AND MAXILLOFACIAL10710 SURGERY CHARTER CENTER, DR,L.L.C. SUITE 340 COLUMBIA NORTH OHIO ENDOSCOPY CENTER LLC 30701 CLEMENS ROAD, WESTLAKE NORTHERN CALIFORNIA ADVANCED SURGERY CENTER 5771 LP GREENBACK LN, SACRAMENTO HENDI AMBULATORY SURGERY CENTER, PC 5454 WISCONSIN AVE, SUITE 725 CHEVY CHASE PHYSICIAN SURGERY CENTER AT ANMED HEALTH LLC 100 HEALTHY WAY, SUITE 1220 ANDERSON ASPEN SURGERY CENTER, LLC 133 LA CASA VIA, WALNUT CREEK DUBLIN SURGERY CENTER LLC 5005 PARKCENTER AVE, DUBLIN VISION SURGERY CENTER, LLC 6355 PEARL RD, PARMA HEIGHTS CONSTITUTION EYE SURGERY CENTER LLC 505 WILLARD AVE, BUILDING 3 NEWINGTON ENDOSCOPIC DIAGNOSTIC & TREATMENT CENTER 560 BAY RIDGE PKWY, BROOKLYN SURGERY CENTER OF INDEPENDENCE LP 19550 EAST 39TH STREET, SUITE 100 INDEPENDENCE NORTH MERIDIAN STREET SURGICENTER ASSOCIATES LLC 10601 N MERIDIAN ST, SUITE #100 INDIANAPOLIS SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 124 ST ZIP TX CA MD IL NE AZ FL CA FL TX MD CA CA PA OK WI PA MD OH CA MD SC CA OH OH CT NY MO IN 76104 94598 21702 60053 68144 85308 33870 95050 33511 78413 20852 93003 95032 17033 74006 53186 19112 21044 44145 95841 20815 29621 94598 43017 44130 06111 11209 64050 46290 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1710924881 1710924899 1710926589 1710931134 1710931860 1710934542 1710940218 1710942370 1710945787 1710948302 1710952130 1710952841 1710952882 1710956529 1710959556 1710961800 1710979109 1710982699 1710985445 1710994801 1720001928 1720011042 1720012701 1720014830 1720017973 1720020472 1720023237 1720023484 1720023690 PROVIDER NAME ADDRESS CITY GEORGIA DERMASURGERY CENTERS, INC. 2400 BELLEVUE RD, 16 ERIN OFFICE PARK DUBLIN DUPAGE SURGICAL CENTER LLC 2725 SOUTH TECHNOLOGY DR, LOMBARD PHYSICIAN SURGERY CENTER LLC 1500 HIGHWAY 72 EAST, ROLLA NOVAMED SURGERY CENTER OF JONESBORO, LLC 601 E MATTHEWS AVE, JONESBORO GRASS VALLEY SURGERY CENTER, LLC 408 SIERRA COLLEGE DRIVE, GRASS VALLEY JEFFERSON SURGERY CENTER PLLC 1609 W 40TH AVE, JRMC PROFESSIONAL CENTER, SUITE PINE BLUFF 103 DENVER MID-TOWN SURGERY CENTER LTD 1919 E 18TH AVE, DENVER SCOTTSDALE ENDOSCOPY CENTER 9787 N 91ST ST, SCOTTSDALE UPLAND OUTPATIENT SURGERY CENTER LP 1330 SAN BERNARDINO RD, SUITE F UPLAND ENDOSCOPY CENTER OF RED BANK PA 365 BROAD ST, RED BANK MARYLAND ENDOSCOPY CENTER LLC 100 WEST RD, SUITE 115 TOWSON ANDOCHICK SURGICAL CENTER 81 THOMAS JOHNSON CT, FREDERICK ADVANCED DERMATOLOGY & SKIN SURGERY 1807 N HUTCHINSON RD, SPOKANE VALLEY IREDELL HEAD, NECK AND EAR AMBULATORY SURGERY707 CENTER, BRYANT INC.ST, LOWER LEVEL STATESVILLE SURGERY CENTER OF ROCKVILLE, LLC 2 CHOKE CHERRY RD, SUITE 125 ROCKVILLE NORTH COUNTRY ORTHOPAEDIC AMBULATORY SURGERY 1571 CENTER WASHINGTON LLC ST, SUITE 202 WATERTOWN SHEEPSHEAD BAY SURGERY CENTER 2269 OCEAN AVE, BROOKLYN NORTHEAST MISSOURI AMBULATORY SURGERY CENTER 98LLC MEDICAL DRIVE, HANNIBAL HERSHEY ENDOSCOPY CENTER, LLC 905 W GOVERNOR RD, SUITE 100 HERSHEY THE SURGERY CENTER OF DALLAS 9032 HARRY HINES BLVD, DALLAS CAMPBELL SURGERY CENTER 1410 BRIERBROOK RD, GERMANTOWN PREMIER ORTHOPAEDIC SURGERY CENTER, LLC 394 HARDING PL STE 100, NASHVILLE JOHNSON CITY EYE SURGERY CENTER 110 MED TECH PKWY, SUITE 2 JOHNSON CITY OLD HOOK MEDICAL SURGICENTER 452 OLD HOOK RD, EMERSON SURGI CENTER OF GREATER MADISON, LLC 3230 DEMING WAY, STE 100 MIDDLETON DENTON SURGERY CENTER LP 207 N BONNIE BRAE ST, DENTON INSTITUTE FOR CORRECTIVE SURGERY OF THE FOOT & 2003 ANKLE, ALICE INC.ST, WAYCROSS MORGAN HILL SURGERY CENTER, LP 16130 JUAN HERNANDEZ DR, SUITE 102 MORGAN HILL BLUE WATER ASC LLC 920 RIVER CENTRE DR, PORT HURON SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 125 ST ZIP GA IL MO AR CA AR CO AZ CA NJ MD MD WA NC MD NY NY MO PA TX TN TN TN NJ WI TX GA CA MI 31021 60148 65401 72401 95945 71603 80206 85258 91786 07701 21204 21702 99212 28677 20850 13601 11229 63401 17033 75235 38138 37211 37604 07630 53562 76201 31501 95037 48060 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1720024284 1720033293 1720041254 1720041536 1720042427 1720044522 1720044605 1720048242 1720052012 1720058688 1720059348 1720059421 1720069750 1720072457 1720075864 1720080823 1720081664 1720081870 1720085277 1720085384 1720085657 1720099260 1720110497 1720111792 1720113913 1720125156 1720127483 1720128929 1720129893 PROVIDER NAME ADDRESS PMA SURGERY CENTER, LLC 101 MED TECH PKWY, SUITE 205 NEW TAMPA SURGERY CENTER LTD 2407 CYPRESS RIDGE BLVD, ATRIUM SURGERY CENTER, LTD., A TENNESSEE LIMITED1949 PARTNERSHIP GUNBARREL RD, SUITE 290 CENTER FOR AMBULATORY SURGERY LLC 550 ORCHARD PARK RD, SUITE B101 NORTH JERSEY CENTER FOR SURGERY PA 39 NEWTON SPARTA ROAD, SURGICARE OF MOBILE LTD 2890 DAUPHIN ST, TRACY OUTPATIENT SURGERY CENTER 530 W EATON AVE STE P, MARYLAND SURGERY CENTER FOR WOMEN LLC 11400 ROCKVILLE PIKE, SUITE C25 DENVER ENDOCOPY CENTER LLC 8155 E 1ST AVE, SURGICENTER OF NORFOLK, LLC 3400 W NORFOLK AVE, PUGET SOUND GASTROENTEROLOGY, PS 11027 MERIDIAN AVE N, SUITE 100 MINNESOTA EYE LASER & SURGERY CENTERS, LLC 9801 DUPONT AVE S, SUITE 100 DIGESTIVE HEALTH AND ENDOSCOPY CENTER, INC. 1000 INTEGRITY DR, SUITE 110 CENTRAL TEXAS AMBULATORY ENDOSCOPY CENTER 1305 WONDER WORLD DR, SUITE 105 YAKIMA UROLOGY ASSOCIATES PLLC 2500 RACQUET LN, STE 150 BAPTIST - EMSC, LP 80 HUMPHREYS CTR, STE 101 HEATON LASER & SURGERY CENTER, LLC 3415 GOLDEN RD, ORTHOPAEDIC AMBULATORY SURGICAL INTERVENTION4889 SERVICES MUNSON ST NW, ROSWELL SURGERY CENTER, LLC 1285 HEMBREE RD, SUITE 200C ELMHURST OUTPATIENT SURGERY CENTER LLC 1200 S YORK RD, STE 1400 BAYSIDE ENDOSCOPY, LLC 33 STANIFORD ST, MEAH ASC MANAGEMENT, LLC 109 PARKING WAY STREET, RITACCA LASER CENTER 230 CENTER DRIVE, SUITE 101, BELLEVUE INTERVENTIONAL SPINE SPECIALIST 13033 BEL RED RD, SUITE 120 BANNER CANYON SPRINGS SURGERY CENTER LP 2940 E BANNER GATEWAY DRIVE, SUITE 100 SCOTTSDALE EYE INSTITUTE, PLC 215 S POWER RD STE 112, FRONT RANGE ORTHOPEDIC SURGERY CENTER, LLC 1551 PROFESSIONAL LN UNIT 100, BELLCREST SURGERY CENTER, LLC 6505 BELCREST RD, PACIFIC GASTROENTEROLOGY ENDOSCOPY CENTER 26421 CROWN VALLEY PKWY, SUITE 140B SMA Informatics Confidential CITY JOHNSON CITY WESLEY CHAPEL CHATTANOOGA WEST SENECA NEWTON MOBILE TRACY ROCKVILLE DENVER NORFOLK SEATTLE BLOOMINGTON PITTSBURGH SAN MARCOS YAKIMA MEMPHIS TYLER CANTON ROSWELL ELMHURST PROVIDENCE LAKE JACKSON VERNON HILLS BELLEVUE GILBERT MESA LONGMONT HYATTSVILLE MISSION VIEJO SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 126 ST ZIP TN FL TN NY NJ AL CA MD CO NE WA MN PA TX WA TN TX OH GA IL RI TX IL WA AZ AZ CO MD CA 37604 33543 37421 14224 07860 36606 95376 20852 80230 68701 98133 55431 15235 78666 98902 38120 75701 44718 30076 60126 02905 77566 60061 98005 85234 85206 80501 20782 92691 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1720139512 1720143779 1720156482 1720157860 1720161615 1720161771 1720182835 1720215320 1720227945 1720262405 1720268279 1720270879 1720274467 1720278047 1720289069 1720305550 1720315765 1720316771 1730112178 1730113325 1730118555 1730121401 1730123571 1730124124 1730124561 1730126970 1730127663 1730130246 1730132853 PROVIDER NAME ADDRESS CITY BALTIMORE EYE SURGICAL CENTER,LLC 6231 N CHARLES ST, BALTIMORE LAKE CUMBERLAND SURGERY CENTER LP 301 LANGDON ST, SOMERSET LASER & SURGICAL EYE CENTER LLC 1333 E BARNETT RD, MEDFORD SURGERY CENTER PLUS INC 7430 N SHADELAND AVE, SUITE 100 INDIANAPOLIS MANKATO SURGERY CENTER, L.L.C. 1411 PREMIERE DR, MANKATO EYE CARE SURGERY CENTER OF OLIVE BRANCH,LLC 6947 CRUMPLER BLVD, SUITE 105 OLIVE BRANCH LIMESTONE MEDICAL CENTER, INC 1941 LIMESTONE RD STE 113, WILMINGTON EAST SIDE ENDOSCOPY LLC 380 2ND AVE, CONCOURSE A NEW YORK THE HAND CENTER OF WESTERN CONNECTICUT 35 TAMARACK AVE, DANBURY BATON ROUGE LA ENDOSCOPY ASC LLC 9103 JEFFERSON HWY, BATON ROUGE SURGERY CENTER PEARL, LLC 6900 PEARL RD, CLEVELAND AKSTEIN EYE CENTER, AMBULATORY SURG. CENTER 86 UPPER RIVERDALE RD SW, SUITE 100 RIVERDALE NORTH MEMORIAL ENDOSCOPY CENTER AT MAPLE GROVE, 9855 HOSPITAL LLC DR, SUITE 275 MAPLE GROVE ARIZONA INSTITUTE OF EYE SURGERY, LLC ARIZONA INSTITUTE OF EYE SURGERY, LLC, 1680 WILLOW PRESCOTT CREEK ROAD ORCHID SURGERY CENTER 9301 WILSHIRE BLVD, STE 305 BEVERLY HILLS CALCAGNO AND ROSSI VEIN SURGERY CENTER LLC 2025 TECHNOLOGY PKWY STE 306, MECHANICSBURG FPM UROGYNECOLOGY CENTER, LLC 3050 HAMILTON BLVD, SUITE 200 ALLENTOWN CAPE FEAR CENTER FOR DIGESTIVE DISEASES, PA 3202 BOONE TRL, FAYETTEVILLE SAN JOAQUIN LASER & SURGERY CENTER 1805 N CALIFORNIA ST STE 101A, STOCKTON DHA ENDOSCOPY LLC 91 MONTVALE AVE, STONEHAM HARBORSIDE SURGERY CENTER, INC. 610 E OLYMPIA AVE, SUITE 100 PUNTA GORDA SALEM ENDOSCOPY CENTER 875 OAK ST SE, SUITE 3095 SALEM TWIN CITIES SURGICENTER, INC. 812 4TH ST, MARYSVILLE THE ENDOSCOPY CENTER OF SANTA MARIA,INC. 1315 S MILLER ST, SUITE 101 SANTA MARIA SURGERY CENTER OF WESTON LLC 2300 N COMMERCE PARKWAY, WESTON CENTRO QUIRURGICO DE LA MONTANA INC 174 CALLE LUIS BARRERAS S, CAYEY HEALTHCARE MIDWEST PC 125 W WALNUT ST, KALAMAZOO PENNSYLVANIA EYE SURGERY CENTER 4100 LINGLESTOWN RD, HARRISBURG OUTPATIENT SURGERY CENTER, INC. 160 HIGHWAY 201 N, MOUNTAIN HOME SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 127 ST ZIP MD KY OR IN MN MS DE NY CT LA OH GA MN AZ CA PA PA NC CA MA FL OR CA CA FL PR MI PA AR 21212 42503 97504 46250 56001 38654 19808 10010 06811 70809 44130 30274 55369 86301 90210 17050 18103 28306 95204 02180 33950 97301 95901 93454 33326 00736 49007 17112 72653 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1730133794 1730140237 1730146861 1730147802 1730151168 1730152869 1730153073 1730153974 1730169657 1730170564 1730175159 1730180084 1730187337 1730191651 1730192014 1730197633 1730207556 1730227992 1730233677 1730249327 1730252487 1730272790 1730277575 1730283151 1730286097 1730296997 1730301284 1730318353 1730345596 PROVIDER NAME ADDRESS DRS FRIEDRICH RUBIN PANELLA AND SAPIENZA, LLP 420 GRAND AVE, LINDEN OAKS SURGERY CENTER INC 10 HAGEN DRIVE, CONROE SURGERY CENTER 2 LTD 1501 RIVER POINTE DR, SUITE 200 ROBINWOOD SURGERY CENTER, LLC 11110 MEDICAL CAMPUS RD, SUITE 200 HAWTHORNE PLACE OUTPATIENT SURGERY CENTER LP1900 HOLLISTER DR, SUITE 100 BEL AIR ENDOSCOPY ASC LLC 2 NORTH AVE, SUITE 102 EAST MEMPHIS UROLOGY CENTER, LP 80 HUMPHREYS CTR, SUITE 310 UNIVERSAL SURGICAL CENTER 4713 LEEDS AVE, LEO R. MCCAFFERTY, M.D., SURGICAL CENTER 580 S AIKEN AVE, SUITE 530 SAVANNAH PARTNERS, LLC 13040 ABERCORN STREET, SUITE 2 CHARLOTTE ENDOSCOPIC SURGERY CENTER LLC 23970 SUNCOAST BLVD, BROOKLYN EYE SURGERY CENTER LLC 1301 AVENUE J, MT AIRY SURGERY CENTER, LLC 1001 TWIN ARCH RD, SUITE 3C CHEYENNE SURGICAL CENTER LLC 3235 SPARKS RD, NOVATO ENDOSCOPY CENTER LLC 7595 REDWOOD BLVD, SUITE 106 SURGERY CENTER OF MARYLAND LLC 3801 INTERNATIONAL DRIVE, SUITE 300 COMPLETE HEALTHCARE SURGERY CENTER L.L.P. 315 W HOUSTON ST, MEMORIAL AMBULATORY SURGERY CENTER, LLC 160 MADISON AVE, TRINITY HEALTH 400 BURDICK EXPY E, AMBULATORY SURGERY CENTER OF WNY 3112 SHERIDAN DR, J C PITTS ENTERPRISES INC 251 SW 19TH STREET, TWIN RIVERS PODIATRIC SURGERY CENTER LLC 481 MEMORIAL PKWY, BEDFORD AMBULATORY SURGICAL CENTER 11 WASHINGTON PL, BETHANY MEDICAL CENTER PA 507 N LINDSAY ST, PLYMOUTH MEETING AMBULATORY SURGERY CENTER,625 LLCW RIDGE PIKE, BUILDING B DAY SURGERY, LLC 2335 CHESTERFIELD AVE, SUITE 400 PHYSICIANS CHOICE SURGICENTER INC 82-12 151 AVENUE SUITE #12, GARDENDALE SURGICAL ASSOCIATES, LLC 2213 DECATUR HIGHWAY, CORVALLIS CLINIC PC 444 NW ELKS DR, SMA Informatics Confidential CITY ENGLEWOOD ROCHESTER CONROE HAGERSTOWN LIBERTYVILLE BEL AIR MEMPHIS BALTIMORE PITTSBURGH SAVANNAH PORT CHARLOTTE BROOKLYN MOUNT AIRY CHEYENNE NOVATO SILVER SPRING JASPER MOUNT HOLLY MINOT AMHERST ONTARIO PHILLIPSBURG BEDFORD HIGH POINT CONSHOHOCKEN CHARLESTON HOWARD BEACH GARDENDALE CORVALLIS SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 128 ST ZIP NJ NY TX MD IL MD TN MD PA GA FL NY MD WY CA MD TX NJ ND NY OR NJ NH NC PA WV NY AL OR 07631 14625 77304 21742 60048 21014 38120 21227 15232 31406 33980 11230 21771 82001 94945 20906 75951 08060 58701 14226 97914 08865 03110 27262 19428 25304 11414 35071 97330 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1730355595 1730360264 1730369802 1730374307 1730378399 1730378498 1730382789 1730409400 1740201607 1740202845 1740210459 1740216993 1740219039 1740225903 1740228790 1740230523 1740231489 1740236454 1740241595 1740245901 1740246792 1740251909 1740254572 1740256197 1740260926 1740261882 1740264274 1740264811 1740268796 PROVIDER NAME ADDRESS FORT MYERS ENDOSCOPY CENTER LLC 5050 MASON CORBIN CT, AMERICAN FOOT & LEG SPECIALISTS, P.C. 425 FOREST PKWY, SUITE 103 SHORELINE SURGERY CENTER LLP 718 ELIZABETH ST, NORTHVIEW ORTHOPAEDIC SURGERY CENTER, P.C. 70 ANSLEY DR, THE EYE SURGICENTER OF NJ, INC 1205 N HIGH ST, TORRANCE CA MULTISPECIALTY ASC LLC 23500 MADISON ST, ENDOSCOPY CENTER - HUNTERSVILLE, LLC 16455 STATESVILLE RD, EYEBONE, LLC 150 SEVENTH AVE, TALLAHASSEE ENDOSCOPY CENTER INC 2400 MICCOSUKEE RD, ENDOSCOPY CENTER OF BERGEN COUNTY, LLC 80 EISENHOWER DR, SOUTH CAROLINA ENDOSCOPY CENTER 131 SUMMERPLACE DR, CIMARRON SURGICAL CARE CENTER, LLC 2340 E MAIN ST, SUITE 3 CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC 2200 WHITNEY AVE, SUITE 310 TRUE CARE AMBULATORY SURGERY CT LLC 8025 RITCHIE HWY, #114 CAPITAL SURGERY CENTER LLC 4000 MITCHELLVILLE RD, SARASOTA AMBULATORY SURGERY CENTER 2821 PROCTOR RD, STONEGATE SURGERY CENTER LP 2501 W WILLIAM CANNON DR, SUITE 301 PRINCESS ANNE AMBULATORY SURGERY MANAGEMENT 1975 LLCGLENN MITCHELL DR, SUITE 300 CENTER FOR DERMATOLOGIC SURGERY 123 WESTERN HILLS BLVD, ST. LOUIS SURGICAL CENTER, LC 760 OFFICE PARKWAY, PREMIER SURGERY CENTER OF LOUISVILLE LP 614 E CHESTNUT ST, NORTH FLORIDA GI CENTER LTD 6400 W NEWBERRY RD, SUITE 201 THE NORTHERN NV ENDOSCOPY ASC LLC 5250 KIETZKE LN, THE ASSOCIATES OF MEMORIAL MISSION SURGERY CENTER, 2515 DESALES LLC AVE, STARK AMBULATORY SURGERY CENTER, LLC 4360 FULTON DR NW, SUITE C ENDO SURGICAL CENTER OF NORTH JERSEY 999 CLIFTON AVE, MAGNOLIA ENDOSCOPY CENTER, LLC 3050 CORDER DR, EYES OF YORK SURGICAL CENTER LLC 1880 KENNETH ROAD, SUITE 2 ORTHOPAEDICS NORTHEAST PC 5050 N CLINTON ST, SMA Informatics Confidential CITY FORT MYERS FOREST PARK CORPUS CHRISTI DAHLONEGA MILLVILLE TORRANCE HUNTERSVILLE CHARDON TALLAHASSEE PARAMUS WEST COLUMBIA CUSHING HAMDEN PASADENA BOWIE SARASOTA AUSTIN VIRGINIA BEACH CHEYENNE CREVE COEUR LOUISVILLE GAINESVILLE RENO CHATTANOOGA CANTON CLIFTON CORINTH YORK FORT WAYNE SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 129 ST ZIP FL GA TX GA NJ CA NC OH FL NJ SC OK CT MD MD FL TX VA WY MO KY FL NV TN OH NJ MS PA IN 33907 30297 78404 30533 08332 90505 28078 44024 32308 07652 29169 74023 06518 21122 20716 34231 78745 23456 82009 63141 40202 32605 89511 37404 44718 07013 38834 17404 46825 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1740277821 1740283837 1740287168 1740288679 1740289024 1740293034 1740306059 1740312040 1740318153 1740328947 1740336577 1740358365 1740370501 1740385632 1740387257 1740394741 1740398734 1740408293 1740413400 1740424944 1740428457 1740437896 1740448711 1740450311 1740470053 1740491422 1740492529 1750303855 1750308763 PROVIDER NAME ADDRESS TRANSSOUTH HEALTH CARE PC 9 PHYSICIANS DR, WESTERN MARYLAND SURGICENTER 925 BISHOP WALSH RD, STE 2 AFFILIATED PHYSICIANS & SURGEONS, LTD 6245 N 16TH ST, GULF COAST SURGICAL PARTNERS LLC 3610 SPRINGHILL MEMORIAL DR N, KOOTENAI OUTPATIENT SURGERY CNTR LLC 707 W IRONWOOD DR, TYLER ENDOSCOPY CENTER, LTD 1722 SOUTH BECKHAM AVE, AMBULATORY FOOT AND LEG SURGERY CENTER 1650 MULKEY RD, PEACH STATE SURGICAL CENTERS, INC 1040 MORNINGSIDE DR, PLAZA SURGERY CENTER, L.P. 525 PLAZA DR, SUITE 100 ENDOSCOPY CONSULTANTS, LLC 5669 PEACHTREE DUNWOODY RD NE, SUITE 270 COASTAL PAIN CENTER, LLC 3221 GLYNN AVE, SURGICENTER AT PASADENA, LLC 8109 RITCHIE HWY, SUMMIT SURGERY AND RECOVERY CARE CENTER INC 1485 N TURQUOISE DR, SUITE 100 GULF COAST OUTPATIENT SURGERY CENTER LLC 2781 C.T. SWITZER SR DIRVE, SUITE 101 GLEN BURNIE ENDOSCOPY, LLC 8028 RITCHIE HIGHWAY, SUITE 142 YAMHILL VALLEY ENDOSCOPY INC. 2375 NE CUMULUS AVE, BOSTON ENDOSCOPY CENTER INC. 175 WORCESTER ST, EASTSIDE PODIATRY ASC 2950 NORTHUP WAY, SUITE 115 ATLANTIC SURGERY & LASER CENTER LLC 8040 N WICKHAM RD, GASTRO CARE, LLC 2355 DERR RD, COLONIAL HEIGHTS AMBULATORY SURGERY CENTER LP930 SOUTH AVE, SUITE 2 BRIARGATE ENDOSCOPY CENTER, LLC 4110 BRIARGATE PKWY STE 100, TREVOSE SPECIALTY CARE SURGICAL CENTER, LLC 4979 OLD STREET RD, BANNER BAYWOOD SURGERY CENTER, LP 6424 E BROADWAY RD, SUITE 102 SKIN SURGERY CENTER, A MEDICAL CORPORATION 267 W HILLCREST DRIVE, PV PENINSULA PLASTIC SURGERY CENTER 3400 LOMITA BLVD, SUITE #306 KEARNEY EYE SURGICAL CENTER, INC. 411 W 39TH ST, MEADOWS SURGERY CENTER, LLC 75 ORIENT WAY, SURGICAL SPECIALTIES OF ARROYO GRANDE 860 OAK PARK BLVD, 102 SMA Informatics Confidential CITY ST JACKSON TN CUMBERLAND MD PHOENIX AZ MOBILE AL COEUR D ALENE ID TYLER TX AUSTELL GA PERRY GA SANTA MARIA CA ATLANTA GA BRUNSWICK GA PASADENA MD FLAGSTAFF AZ BILOXI MS PASADENA MD MCMINNVILLE OR WELLESLEY HILLS MA BELLEVUE WA MELBOURNE FL SPRINGFIELD OH COLONIAL HEIGHTS VA COLORADO SPRINGS CO TREVOSE PA MESA AZ THOUSAND OAKS CA TORRANCE CA KEARNEY NE RUTHERFORD NJ ARROYO GRANDE CA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 130 ZIP 38305 21502 85016 36608 83814 75701 30106 31069 93454 30342 31520 21122 86001 39531 21122 97128 02481 98004 32940 45503 23834 80920 19053 85206 91360 90505 68845 07070 93420 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1750310033 1750312435 1750312534 1750313144 1750321006 1750322467 1750323945 1750331435 1750331500 1750333746 1750335154 1750343083 1750346748 1750347472 1750348256 1750352324 1750354502 1750356085 1750358453 1750362869 1750363461 1750364634 1750365615 1750369708 1750376836 1750378295 1750383295 1750384822 1750386231 PROVIDER NAME ADDRESS WASHINGTON POTENCY & UROLOGY 6228 OXON HILL RD, CENTRAL ARIZONA ENDOSCOPY LLC 2158 N GILBERT RD, BUILDING 1 SUITE 103 ADVANCED EYE CARE SURGERY CENTER 1991 PARK AVENUE WEST, AMBULATORY SURGICAL CARE 1045 N COURTENAY PKWY, PROLIANCE SURGEONS, INC., P.S. 4033 TALBOT RD S, SUITE 270 TWIN ARCH SURGICAL CENTER 198 THOMAS JOHNSON DR, SUITE 3 BARNET DULANEY SURGERY CENTERS, PLLC DBA WETMORE 698 E SURGERY WETMORE CENTER RD, SUITE 120 EYE HEALTH ASSOCIATES, INC. 170 MAPLE RD, ARMENIA AMBULATORY SURGERY CENTER LLC 4703 N ARMENIA AVE, NORTH PINELLAS SURGERY CENTER LLC 2323 CURLEW RD, BUILDING 5 EYE INSTITUTE OF NORTHWESTERN OHIO, INC. 5555 AIRPORT HWY, SUITE 110 LEXINGTON SURGERY CENTER LTD 1451 HARRODSBURG RD, SUITE 102 GASTROENTEROLOGY ASSOCIATES PA 415 N CENTER ST, SUITE 300 VALLEY VIEW SURGICARE PARTNERS, LTD 5744 LBJ FREEWAY, SUITE 200 SOUTHWEST SURGICAL CENTER OF BAKERSFIELD LP 201 NEW STINE RD, SUITE 130 SUNRISE AMBULATORY SURGICAL CENTER LLC 5448 HIGHWAY 260, SUITE 100 AKRON ENDOSCOPY ASC LLC 1037 N MAIN ST, SUITE B1 YORK ADAMS PAIN SPECIALISTS PC 250 FAME AVE, SUITE 103 THE CENTER FOR DIGESTIVE HEALTH 2801 W KK RIVER PKWY, SUITE 1025 EYEHEALTH EASTSIDE SURGERY CENTER, LLC 12050 SE STEVENS RD, SUITE 400 BARKLEY SURGICENTER, INC. 63 BARKLEY CIR, SUITE 103 BETHESDA OUTPATIENT SURGERY CENTER LLC 10301 HAGEN RANCH RD, SUITE 520 WOPS INC 5050 POWDERHOUSE RD, MISSION INTERNAL MEDICAL GROUP, INC. 27871 MEDICAL CENTER RD, SUITE 200 ST. PETER'S AMBULATORY SURGERY CENTER LLC 1375 WASHINGTON AVE, SUITE 201 BRAINERD LAKES SURGERY CENTER L L C 13114 ISLE DR, THE EYE SURGERY CENTER OF ST AUGUSTINE 1400 US HIGHWAY 1 S, SUITE B SURGICAL SPECIALTIES OF CASA GRANDE 1760 E FLORENCE BLVD, BLDG 2 DOCTORS SURGERY CENTER 4100 JERRY MURPHY RD, SMA Informatics Confidential CITY OXON HILL MESA MANSFIELD MERRITT ISLAND RENTON FREDERICK TUCSON WILLIAMSVILLE TAMPA DUNDEIN TOLEDO LEXINGTON HICKORY DALLAS BAKERSFIELD LAKESIDE AKRON HANOVER MILWAUKEE PORTLAND FT MYERS BOYNTON BEACH CHEYENNE MISSION VIEJO ALBANY BAXTER ST AUGUSTINE CASA GRANDE PUEBLO SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 131 ST ZIP MD AZ OH FL WA MD AZ NY FL FL OH KY NC TX CA AZ OH PA WI OR FL FL WY CA NY MN FL AZ CO 20745 85203 44906 32953 98055 21702 85705 14221 33603 34698 43615 40504 28601 75240 93309 85929 44310 17331 53215 97266 33907 33437 82009 92691 12206 56425 32084 85222 81001 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1750386256 1750386322 1750386918 1750389391 1750390548 1750401147 1750414983 1750420147 1750434759 1750438784 1750439154 1750456539 1750468583 1750469789 1750470530 1750481453 1750491205 1750494423 1750499950 1750517561 1750520193 1750521720 1750528717 1750529814 1750553376 1750567442 1750568838 1750582797 1750592531 PROVIDER NAME ADDRESS PALOUSE SURGERY CENTER, LLC 2300 W A ST, NOVAMED SURGERY CENTER OF COLORADO SPRINGS, 320 LLC E FONTANERO ST, STE 101 MIDTOWN SURGERY CENTER LP 255 S PAULINE ST, FAIRFIELD AMBULATORY SURGERY CENTER, LTD 2401 N COLUMBUS ST, OXFORD EYE SURGERY CENTER,L.P 1314 BELK BLVD, NORTHWEST NASAL SINUS ASC 1200 N NORTHGATE WAY, ROCKLEDGE SURGERY CENTER, INC. 6410 ROCKLEDGE DR, SUITE 201 INTERVENTIONAL SPINE AND PAIN MANAGEMENT AMBULATORY 1388 WELLBROOK SURGICAL CIRCENTER NE, SUITE A TOWER OAKS SURGERY CENTER, LLC 3200 TOWER OAKS BLVD, SILVER SPRING PODIATRY CENTER 2730 UNIVERSITY BLVD W, SUITE 1000 SOUTHERN CALIFORNIA SURGERY CENTER 7305 PACIFIC BLVD, FLORIDA MEDICAL CLINIC PA 14547 BRUCE B DOWNS BLVD, TEXAS EYE SURGERY CENTER, LLP 1872 NORWOOD DR, 100 ORTHOPEDIC SURGERY CENTER 7301 HENNESSY BLVD, SUITE 100 EVANSVILLE SURGERY CENTER ASSOCIATES, LLC 4133 GATEWAY BLVD, SUITE 100 LONGVIEW SURGICAL CENTER LLC 625 9TH AVE, SUITE #110 ENT SURGERY CENTER OF ATLANTA,LLC 5673 PEACHTREE DUNWOODY RD NE, SUITE 945 GEORGIA PAIN SPINE CENTER 15 MEDICAL DRIVE, SUITE 302 MEDPLEX OUTPATIENT SURGERY CENTER LTD 4511 SOUTHLAKE PARKWAY, CANON CITY CO MULTI SPECIALTY ASC LLC 933 SELLS AVE, PAIN CENTERS OF WISCONSIN-GREEN BAY, LLC 2595 DEVELOPMENT DR, STE 150 SPOKANE VALLEY EAR NOSE & THROAT PS 1424 N. MCDONALD RD, SUITE 102 ROUND ROCK SURGERY CENTER, LLC 2000 S MAYS ST, STE. 400 WEST BRIDGEWATER MA ENDOSCOPY ASC LLC 120 W CENTER ST, SAN MATEO SURGERY CENTER LLC 66 BOVET RD, SUITE 103 IRELAND GROVE CENTER FOR SURGERY LLC. 3801 IRELAND GROVE ROAD, VIVERE HEALTH DALLAS, LLC 12606 GREENVILLE AVE, SUITE 190 BAY AREA LASER SURGERY CENTER, A MEDICAL CORPORATION 1599 TARA HILLS DR, THE PHYSICIANS' SURGERY CENTER LANCASTER GENERAL, 2150 LLC HARRISBURG PIKE, SMA Informatics Confidential CITY ST MOSCOW ID COLORADO SPRINGS CO MEMPHIS TN LANCASTER OH OXFORD MS SEATTLE WA BETHESDA MD CONYERS GA ROCKVILLE MD WHEATON MD HUNTINGTON PARK CA TAMPA FL HURST TX BATON ROUGE LA NEWBURGH IN LONGVIEW WA ATLANTA GA CARTERSVILLE GA BIRMINGHAM AL CANON CITY CO GREEN BAY WI SPOKANE VALLEY WA ROUND ROCK TX WEST BRIDGEWATERMA SAN MATEO CA BLOOMINGTON IL DALLAS TX PINOLE CA LANCASTER PA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 132 ZIP 83843 80907 38104 43130 38655 98133 20817 30012 20852 20902 90255 33613 76054 70898 47630 98632 30342 30121 35244 81212 54311 99216 78664 02379 94402 61704 75243 94564 17604 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1750597449 1750612446 1750616249 1760401848 1760412092 1760412803 1760414056 1760418891 1760418917 1760421846 1760423180 1760423297 1760428692 1760434427 1760437248 1760440515 1760445928 1760447015 1760447866 1760454557 1760456644 1760457204 1760459267 1760464036 1760467732 1760470942 1760473425 1760486369 1760491385 PROVIDER NAME OKLAHOMA LITHOTRIPTER ASSOCIATES, LC BAY SURGERY CENTERS - GLEN BURNIE IDAHO ENDOSCOPY CENTER LLC JOHN MICHAEL GARRETT MD PC TRI-CITIES SURGERY CENTER LLC MEMORIAL HERMANN SURGERY CENTER KATY, LLP VAN DYCK ASC LLC LITTLE ROCK DIAGNOSTIC CLINIC ASC WAVECO LLC PROLIANCE SURGEONS, INC., P.S. CENTRAL COAST ENDOSCOPY CTR INC LAKESIDE SURGERY CENTER LP PREMIER SURGERY CENTER OF DC DALTON EAR NOSE AND THROAT ASSOCIATES EYE SURGERY SPECIALISTS OF PUERTO RICO, LLC SIERRA ENDOSCOPY CENTER ARIZONA ENDOSCOPY CENTER, LLC SHEA CLINIC MOBILE SURGERY CENTER PHOENIX OPHTHALMOLOGY ASC LLC RICHMOND BONE & JOINT SURGICAL ORTHOPAEDIC SURGERY CENTER OF ILLINOIS, LLC POTOMAC AMBULATORY SURGERY CENTER DIGESTIVE DISEASE ENDOSCOPY CENTER, INC. G I DIAGNOSTIC AND THERAPEUTIC SAMARITAN NORTH SURGERY CENTER LTD BECKLEY SURGERY CENTER MOUNTAIN EMPIRE SURGERY CENTER, LP ENDOSCOPY CENTER OF NORTHERN OHIO, LLC SMA Informatics Confidential ADDRESS CITY 5401 N PORTLAND AVE, SUITE 650 OKLAHOMA CITY 7671 QUARTERFIELD RD, GLEN BURNIE 6259 W EMERALD ST, BOISE 1301 CARPENTER AVE, IRON MOUNTAIN 345 DELNOR DRIVE, GENEVA 23920 KATY FREEWAY, SUITE 200 KATY 1024 KELLEY DR, PARIS 10001 LILE DR, LITTLE ROCK 1822 BRUNSWICK AVE, CHARLOTTE 1100 PACIFIC AVE, SUITE 100 EVERETT 243 GREEN VALLEY RD, STE F FREEDOM 5700 SAN FERNANDO RD, GLENDALE 6323 GEORGIA AVE NW, SUITE 200 WASHINGTON 1436 CHATTANOOGA AVE, DALTON 809 HIPODROMO AVE, PDA. 20, FERNANDEZ JUNCOS SANTURCE STATION 300 SIERRA COLLEGE DR, STE.105 GRASS VALLEY 1410 E MCDOWELL RD, PHOENIX 6133 POPLAR PIKE, MEMPHIS 6144 AIRPORT BLVD STE A, MOBILE 300 E OSBORN RD, SUITE 102 PHOENIX 1517 THOMPSON RD, RICHMOND 3136 OLD JACKSONVILLE RD, SUITE 250 SPRINGFIELD 6410 ROCKLEDGE DR, BETHESDA 222 22ND AVE N, SUITE 300 NASHVILLE 1310 WOLF PARK DR, GERMANTOWN 9000 N MAIN ST, DAYTON 84 BROOKSHIRE LN, BECKLEY 601 MED TECH PKWY, JOHNSON CITY 1299 INDUSTRIAL PARKWAY NORTH, SUITE 120 BRUNSWICK SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 133 ST ZIP OK MD ID MI IL TX TN AR NC WA CA CA DC GA PR CA AZ TN AL AZ TX IL MD TN TN OH WV TN OH 73112 21061 83704 49801 60134 77493 38242 72205 28207 98201 95019 91202 20011 30720 00909 95945 85006 38119 36608 85012 77469 62704 20817 37203 38138 45415 25801 37604 44212 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1760491633 1760507834 1760518609 1760563159 1760568273 1760591952 1760594279 1760598577 1760616031 1760627830 1760658256 1770502767 1770503294 1770513855 1770516338 1770524878 1770528838 1770532194 1770537227 1770541708 1770551517 1770554297 1770557233 1770559759 1770566192 1770570467 1770572307 1770577637 1770581373 PROVIDER NAME ADDRESS CALVERT AMBULATORY FOOT SURGERY CENTER 1430 OLD SOLOMONS ISLAND ROAD, GAITHERSBURG FOOT AND ANKLE SURGERY CENTER 60 MARKET ST, SUITE #202 NORTH POINT SURGERY CENTER 1332 W HERNDON AVE, NORTH GA INSTITUTE FOR WOUND CARE 520 PIRKLE FERRY RD STE C, WALLA WALLA CLINIC, INC. 55 W TIETAN ST, PONTE VEDRA AMBULATORY SURGERY CENTER 209 PONTE VEDRA PARK DR, FILUTOWSKI EYE INSTITUTE PA 110 YORKTOWNE DR, ACUTE & CHRONIC PAIN MGMT 24 CARE CIR, BLAINE MN MULTI SPECIALTY ASC LLC 11855 ULYSSES ST NE, SUITE 270 MUSCULOSKELETAL AMBULATORY SURGERY CENTER, INC. 1917 WORTH CT, HARVARD SURGERY CENTER LLC 2520 HARVARD AVE, SUITE 2A ENDOSCOPY CENTER, LLC 1151 HOSPITAL WAY BLDG A, NORTH SEATTLE SURGERY CENTER, LLC 10330 MERIDIAN AVE N, SUITE 150 CAPITAL ENDOSCOPY LLC 6475 NEW HAMPSHIRE AVE, SUITE 150 CORDOVA AMBULATORY SURGICAL CENTER 545 BRENT LN, CENTER FOR ENT LASER & COSMETIC SURGERY LLC 310 COLLOREDO BLVD, STE B BREVARD SURGERY CENTER 665 S APOLLO BLVD, BROADWEST SPECIALTY SURGICAL CENTER, LLC 315 W 89TH AVE, WEST SUBURBAN EYE SURGERY CENTER LLC 1440 MAIN ST, SUTTER ALHAMBRA SURGERY CENTER LP 1201 ALHAMBRA BLVD, SUITE 110 SOUTHERN MARYLAND ENDOSCOPY CENTER 7700 OLD BRANCH AVE, SUITE A102 EAST TEXAS EYE ASSOCIATES 1306 W FRANK AVE, MESA AZ ENDOSCOPY ASC LLC 610 E BASELINE RD, RALEIGH PLASTIC SURGERY CENTER 1112 DRESSER CT, SUMMERLIN BEND SURGERY CENTER LLP 5238 MASON CORBIN CT, STE 101 DELAWARE EYE SURGERY CENTER, LLC 18791 JOHN J WILLIAMS HWY, BETHESDA SURGERY CENTER, LLC 10215 FERNWOOD RD, SUITE 412 THE SURGERY CENTER 5080 N ROYAL DR, GALLAGHER PARK SURGICENTER LTD 300 N HIGHLAND AVE, SUITE 200 SMA Informatics Confidential CITY ST PRINCE FREDERICK MD GAITHERSBURG MD FRESNO CA CUMMING GA WALLA WALLA WA PONTE VEDRA BEACHFL DAYTONA BEACH FL AMARILLO TX BLAINE MN BRADENTON FL METAIRIE LA POCATELLO ID SEATTLE WA HYATTSVILLE MD PENSACOLA FL SHELBYVILLE TN MELBOURNE FL MERRILLVILLE IN WALTHAM MA SACRAMENTO CA CLINTON MD LUFKIN TX TEMPE AZ RALEIGH NC FT MYERS FL REHOBOTH BEACH DE BETHESDA MD TRAVERSE CITY MI SHERMAN TX SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 134 ZIP 20678 20878 93711 30040 99362 32082 32119 79124 55434 34211 70001 83201 98133 20783 32503 37160 32901 46410 02451 95816 20735 75904 85283 27609 33907 19971 20817 49684 75092 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1770581829 1770588584 1770598591 1770599136 1770601866 1770603706 1770605214 1770620742 1770631392 1770632259 1770645905 1770652216 1770660706 1770676447 1770700593 1770714388 1770731853 1770743031 1770753998 1770796757 1770802555 1780604694 1780610220 1780610576 1780613521 1780618801 1780624171 1780630251 1780631127 PROVIDER NAME ADDRESS CITY PHYSICIANS' SURGERY CENTER, LLC 3840 W 75TH ST, PRAIRIE VILLAGE PHYSICIANS SURGERY CENTER LLC 4035 EVANS AVE, FT MYERS BOISE CENTER FOR FOOT SURGERY PLLC 1828 S MILLENNIUM WAY, SUITE 100 MERIDIAN RADIANCE A PRIVATE OUTPATIENT SURGERY CENTER LLC 701 BOYCE RD, BRIDGEVILLE MEDICAL SPECIALTY PROCEDURES, LC 1355 37TH ST, SUITE 304 VERO BEACH BIRMINGHAM AMBULATORY SURGICAL CENTER, PLLC 230 W MAPLE ROAD, STE 100 TROY ANCHORAGE ENDOSCOPY CENTER 2841 DEBARR RD STE 51, ANCHORAGE SAMUEL WELLS SURGICENTER 3599 UNIVERSITY BLVD S STE 604, JACKSONVILLE PREMIERE PLASTIC COSMETIC AND LASER SURGERY CENTER 3533 SOUTHERN LLC BLVD, SUITE 4400 KETTERING FAR HILLS SURGICAL CENTER, LTD 6601 CENTERVILLE BUSINESS PARKWAY, SUITE 301CENTERVILLE SILVER SPRING MD ENDOSCOPY ASC LLC 10801 LOCKWOOD DR, SUITE 110 SILVER SPRING PENINSULA EYE SURGERY CENTER 1128 W EL CAMINO REAL, MOUNTAIN VIEW SAINT MARY'S OUTPATIENT SURGERY CENTER AT GALENA 18653 WEDGE PKWY, RENO SUMMIT SURGERY CENTER LLC 434 SOUTH CLARK ST., BUTTE DOWNEY SURGERY CENTER, INC. 8555 FLORENCE AVE, DOWNEY HILLSIDE ASC LLC 14 MAPLE ST, GILFORD SHAWNEE MISSION PRAIRIE STAR SURGERY CENTER LLC 23401 PRAIRIE STAR PARKWAY, LENEXA NEWSOUTH NEUROSPINE LLC 2470 FLOWOOD DR, FLOWOOD SKIN CANCER TREATMENT CENTER, L.L.C. 5530 WISCONSIN AVE, SUITE 820 CHEVY CHASE LAPEER COUNTY SURGERY CENTER LLC 1546 CALLIS ROAD, LAPEER FAIRLAWN SURGERY CENTER, LLC 2107 ROSALIND AVE SW, ROANOKE CLEARVIEW SURGERY CENTER INC 1980 E STATE HWY 114, SOUTHLAKE HILLSIDE MEDICAL SURGERY 104 27TH AVE SE, PUYALLUP FINDLAY SURGERY CENTER 1709 MEDICAL BOULEVARD, FINDLAU LITCHFIELD HILLS SURGERY CENTER 245 ALVORD PARK RD, TORRINGTON PINEY ORCHARD SURGERY CENTER, LLC. 1132 ANNAPOLIS RD, ODENTON C & S MEDICAL, LLC 537 STANTON CHRISTIANA RD, SUITE 109 NEWARK SOMERSET EYE INSTITUTE, PC 562 EASTON AVE, SOMERSET GASTROENTEROLOGY & LIVER DISEASE MEDICAL CENTER 7215 INCN FRESNO ST, #101 FRESNO SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 135 ST ZIP KS FL ID PA FL MI AK FL OH OH MD CA NV MT CA NH KS MS MD MI VA TX WA OH CT MD DE NJ CA 66208 33901 83642 15017 32960 48084 99508 32216 45429 45459 20901 94040 89511 59701 90240 03249 66227 39232 20815 48446 24014 76092 98374 45840 06790 21113 19713 08873 93720 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1780641225 1780649269 1780655183 1780656801 1780658062 1780658245 1780661967 1780664185 1780673327 1780683490 1780683797 1780684043 1780686808 1780687442 1780688499 1780689802 1780691386 1780699546 1780727636 1780735175 1780737239 1780738153 1780747394 1780747733 1780752352 1780764829 1780767673 1780771923 1780774745 PROVIDER NAME ADDRESS ENDOSCOPY CENTER WEST LLC 3654 WERK RD, MARIETTA SURGERY CENTER 611 SECOND STREET, INDIAN RIVER SURGERY CENTER LTD 1200 37TH ST, CINCINNATI ASC LLC 9275 MONTGOMERY RD, SUITE 400 GLEN ENDOSCOPY CENTER, LLC 2551 COMPASS RD, SUITE 115 ROGERS AR OPHTHALMOLOGY ASC LLC 3737 W WALNUT ST, CJ ELMWOOD PARTNERS, L.P. 4405 HAMILTON BLVD, HILLMONT ASC LP 1528 BETHLEHEM PIKE, LAKEWOOD SURGERY CENTER, LLC 1215 ROUTE 70, SUITE 2000, METROCREST SURGERY CENTER LP 4780 N JOSEY LN, LOVELAND ENDOSCOPY CENTER, LLC 2555 E 13TH ST, SUITE #210 TUSCARAWAS AMBULATORY SURGERY CENTER 320 OXFORD ST, COLLEGE HEIGHTS ENDOSCOPY CENTER LLC 3147 COLLEGE HEIGHTS BLVD, POLUN AMERICAN SURGERY CENTER 10236 RIVER RD, THE CENTER FOR ENDOSCOPY 3921 WARING RD, STE B PAIN DIAGNOSTIC AND TREATMENT CENTER, LP 2805 J ST, STE 200 ORTHOPAEDICS SPECIALISTS SURGI-CENTER, LLC 1096 OLD CHURCHMANS RD, CASCADES ENDOSCOPY CENTER, LLC 7120 MINSTREL WAY, SUITE 100 UNION SURGERY CENTER, INC 3737 SAN DIMAS ST, SUITE 102 THE CENTER FOR SPINE PROCEDURES, PC 335 ROSELANE ST NW, SURGICARE SURGICAL ASSOCIATES OF CARLSTADT, LLC630 BROAD ST, POWDER RIVER SURGERY CENTER 906 W 6TH ST, SUITE C MORRIS AVE ENDOSCOPY LLC #1700 GALLOPING HILL RD, MACKINAW SURGERY CENTER LLC 5400 MACKINAW RD, PREMIER SURGERY CENTER OF SANTA MARIA 816 EAST ENOS DRIVE, B NOVAMED SURGERY CENTER OF ST PETERS LLC 114 PIPER HILL DR, SUITE 101 EYE CARE SURGERY CENTER OF SOUTHAVEN,LLC 7600 AIRWAYS BLVD, SUITE D PUTNAM AMBULATORY SURGERY CENTER LLC 414 ZEAGLER DR, EAST MISSISSIPPI ENDOSCOPY CENTER LLC 1926 23RD AVE, SMA Informatics Confidential CITY CINCINNATI MARIETTA VERO BEACH CINCINNATI GLENVIEW ROGERS SIOUX CITY FLOURTOWN LAKEWOOD CARROLLTON LOVELAND DOVER ALLENTOWN POTOMAC OCEANSIDE SACRAMENTO NEWARK COLUMBIA BAKERSFIELD MARIETTA CARLSTADT GILLETTE KENILWORTH SAGINAW SANTA MARIA SAINT PETERS SOUTHAVEN PALATKA MERIDIAN SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 136 ST ZIP OH OH FL OH IL AR IA PA NJ TX CO OH PA MD CA CA DE MD CA GA NJ WY NJ MI CA MO MS FL MS 45248 45750 32960 45242 60026 72756 51104 19031 08701 75010 80537 44622 18104 20854 92056 95816 19713 21045 93301 30060 07072 82716 07033 48604 93454 63376 38671 32177 39301 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1780777573 1780787218 1780789024 1780791798 1780807081 1780820381 1780845826 1780851691 1780853044 1780854489 1780861096 1780865634 1780866640 1780871319 1780888156 1790709376 1790710390 1790711091 1790714525 1790717205 1790717825 1790721769 1790724862 1790734978 1790736502 1790738359 1790739894 1790742328 1790744175 PROVIDER NAME ADDRESS ASSOCIATES OF THE MERIDIAN HEALTH OUTPATIENT SURGERY 908 W 4TH CENTER NORTH LLCST, ENCINO SURGICENTER A MEDICAL GROUP 16633 VENTURA BLVD, STE 110 LINDEN SURGICAL CENTER, LLC 210 W SAINT GEORGES AVE, LINDSAY HOUSE SURGERY CENTER LLC 973 EAST AVE, ST. MARK'S MICROSURGICAL CENTER 502 S M ST, SEASIDE SURGICAL 3303 B GLYNN AVENUE, OLYMPIA EYE CLINIC INC PS 724 COLUMBIA ST NW, PACIFIC CATARACT AND LASER INSTITUTE INC PC 3330 4TH ST, HACIENDA SURGERY CENTER, LLC 4626 WILLOW RD, SUMMERVILLE SURGICAL CENTER LLC 1433 STOVALL ST, ROSELAND AMBULATORY SURGERY CENTER, LLC 556 EAGLE ROCK AVE, NEW ORLEANS LA UPTOWN WEST BANK ENDOSCOPY ASC 1111LLC MEDICAL CENTER BLVD, SUITE S450 THE NEW PORT RICHEY FL MULTI SPECIALTY ASC LLC 5652 MEADOWLANE ST, SUITE A SURGICAL SPECIALISTS ASC, LLC 1034 MAR WALT DR STE 300, PLASTIC AND RECONSTRUCTIVE SURGERY CENTER, PC 820 SAINT SEBASTIAN WAY, SUITE 1A PREMIER SURGERY CENTER LLC 11141 PARKVIEW PLAZA DR, SUITE 200 SOUTHWESTERN MEDICAL CENTER, LLC 7456 S STATE RD, THIRD FLOOR PRESCOTT UROCENTER LTD 811 AINSWORTH DR, SUITE 101 PLASTIC SURGERY CENTER OF MERIDIAN, LLC 5002 HWY 30 NORTH, BLDG. D ASHTABULA SURGERY CENTER, INC 2893 N RIDGE RD E, SSCA SURGICAL ASSOCIATES OF COLUMBIA 725 SOUTH JAMES CAMPBELL BLVD, SAN FRANCISCO SURGERY CENTER, LP 450 SUTTER ST, STE. 500 PROLIANCE SURGEONS, INC., P.S. 12911 120TH AVE NE, SUITE H-110 MID-OHIO VALLEY MEDICAL CENTER INC 610 WASHINGTON BLVD, STE 2 SEVEN HILLS SURGERY CENTER, LLC 2010 FLEISCHMANN RD, ENDOCENTRE OF BALTIMORE 1838 GREENE TREE RD, SUITE 180 HIGHLAND AMBULATORY SURGICAL CENTER, LLC 1212 BROADWAY, SUITE C SPRINGHILL SURGERY CENTER, LLC 3401 SPRINGHILL DR, SUITE 155 WESTERN WASHINGTON ENDOSCOPY CENTERS LLC 1703 S MERIDIAN, SUITE 203 SMA Informatics Confidential CITY ST MORRISTOWN TN ENCINO CA LINDEN NJ ROCHESTER NY TACOMA WA BRUNSWICK GA OLYMPIA WA LEWISTON ID PLEASANTON CA AUGUSTA GA ROSELAND NJ MARRERO LA NEW PORT RICHEY FL FORT WALTON BEACHFL AUGUSTA GA FORT WAYNE IN BEDFORD PARK IL PRESCOTT AZ MERIDIAN MS ASHTABULA OH COLUMBIA TN SAN FRANCISCO CA KIRKLAND WA BELPRE OH TALLAHASSEE FL BALTIMORE MD HIGHLAND IL NORTH LITTLE ROCK AR PUYALLUP WA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 137 ZIP 37814 91436 07036 14607 98405 31520 98501 83501 94588 30904 07068 70072 34652 32547 30901 46845 60638 86301 39301 44004 38401 94108 98034 45714 32308 21208 62249 72117 98371 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1790746428 1790752061 1790756237 1790759355 1790761393 1790772226 1790772804 1790784726 1790786218 1790791598 1790799047 1790811222 1790822278 1790822864 1790835130 1790837359 1790842037 1790844132 1790852994 1790862183 1790871184 1790873966 1790876431 1790876571 1790876902 1790885895 1790886372 1790902617 1790906204 PROVIDER NAME ADDRESS MIDWEST EYE CENTER 1700 E WEST RD, NORTH FLORIDA REGIONAL FREESTANDING SURGERY CENTER 6705 NW LP10TH PL, BIRMINGHAM SURGERY CENTER 2621 19TH ST S, PEORIA AZ MULTI ASC LLC 13640 N PLAZA DEL RIO BLVD, SUITE 135 ST LUCIE SURGICAL CENTER 1300 N LAWNWOOD CIR, ATLANTICARE SURGERY CENTER CAPE MAY - L.L.C. 106 COURT HOUSE SOUTH DENNIS RD, CEI PHYSICIANS PSC INC 1945 CEI DRIVE, HEART OF TEXAS OUTPATIENT CATARACT CENTER, INC.100 S PARK DR, FOUNDATION SURGERY AFFILIATE OF FORT WASHINGTON, 467 PENNSYLVANIA LLC AVE, SUITE 202 ANNAPOLIS SURGERY CENTER, L.L.C. 2629 RIVA ROAD, SUITE 106 WATSONVILLE SURGEONS GROUP 160 GREEN VALLEY RD, SUITE 101 NASHVILLE GASTROINTESTINAL SPECIALISTS, INC. 330 WALLACE RD, SUITE 103 SURGERY CENTER OF WAXAHACHIE LP 106 LUCAS STREET, NORTHWEST EYE SPECIALISTS,LLC 5599 N ORACLE RD, TRIVALLEY OUTPATIENT SURGERY CENTER 4487 STONERIDGE DR, CHESTER SURGERY CENTER CORP 385 ROUTE 24 SUITE 3K, SOUTHWEST ENDOSCOPY CENTER 2 BURNETT CT STE 200, RIDGE LAKE ASC, LLC 825 RIDGE LAKE BLVD, ATLANTIC SURGERY CENTER LLC 3911 HIGHWAY 17, SUITE B CATARACT AND LASER CENTER OF THE NORTH SHORE, 349 LLC N MAIN ST, MID-ATLANTIC NEUROSURGICAL ASSOICATES, PAIN CENTER 2411 W BELVEDERE AVE, SUITE 406 FLAMINGO PECOS SURGERY LLC 4275 BURNHAM AVE, SUITE 101 MAIN LINE SPINE SURGERY CENTER 700 S HENDERSON RD, STE 335 SPOKANE FOOT AND ANKLE SURGERY CENTER 101 W IRONWOOD DR, STE 131 MCLEOD REGIONAL MEDICAL CENTER 604 EAST CHEVES STREET, UNITED MEDICAL ENDOSCOPY CENTER 1753 A WEST AVENUE J, LAKE LANSING ASC PARTNERS, LLC 1707 LAKE LANSING RD, WEST WICHITA FAMILY PHYSICIANS, P.A. 8200 W CENTRAL AVE, SUITE 3 EAR, NOSE & THROAT SURGERY CENTER OF UTAH LLC 22 S 900 E STE 2, SMA Informatics Confidential CITY ST CALUMET CITY IL GAINESVILLE FL BIRMINGHAM AL PEORIA AZ FORT PIERCE FL CAPE MAY COURT HOUSE NJ CINCINNATI OH BROWNWOOD TX FORT WASHINGTON PA ANNAPOLIS MD FREEDOM CA NASHVILLE TN WAXAHACHIE TX TUCSON AZ PLEASANTON CA CHESTER NJ DURANGO CO MEMPHIS TN MURRELLS INLET SC ANDOVER MA BALTIMORE MD LAS VEGAS NV KING OF PRUSSIA PA COEUR D ALENE ID FLORENCE SC LANCASTER CA LANSING MI WICHITA KS SALT LAKE CITY UT SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 138 ZIP 60409 32605 35209 85381 34950 08210 45242 76801 19034 21401 95019 37211 75165 85704 94588 07930 81301 38120 29576 01810 21215 89119 19406 83814 29506 93534 48912 67212 84102 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1790924306 1790945145 1790953214 1790969301 1790978112 1801032750 1801045430 1801058292 1801064845 1801073648 1801092358 1801094669 1801811443 1801811773 1801822739 1801827993 1801844386 1801849427 1801853510 1801854591 1801855127 1801859970 1801869292 1801869847 1801876941 1801883970 1801890173 1801891296 1801891668 PROVIDER NAME ADDRESS CITY ST ZIP CENTRAL ILLINOIS ENDOSCOPY CENTER, LLC 1001 MAIN ST, STE 530 PEORIA IL 61606 MANSFIELD SURGICAL PLAZA LLC 280 REGENCY PKWY, MANSFIELD TX 76063 DHHS PHS NAIHS FORT DEFIANCE HOSPITAL CORNER OF ROUTE N12 & N7, FORT DEFIANCE AZ 86504 PAVILION SURGICAL SERVICES LLC 245 HOSPITAL DR., 100 UKIAH CA 95482 FAIRVIEW URO CENTER LLC 4225 ALTAMONT PL, SUITE A&B WHITE PLAINS MD 20695 CONEJO VALLEY SURGERY CENTER, LLC 311 HAIGH ROAD SUITE 100, THOUSAND OAKS CA 91320 SAN DIEGO SPORTS AND MINIMALLY INVASIVE SURGERY 3939 CENTER RUFFIN LLCRD, SUITE 100 SAN DIEGO CA 92123 METROPOLITAN SURGICAL INSTITUTE, LLC 540 BORDENTOWN AVE, SOUTH AMBOY NJ 08879 VALLEY AMBULATORY SURGERY CENTER, LLC 6840 SEPULVEDA BLVD, SUITE 101 VAN NUYS CA 91405 ELITE ENDOSCOPY CENTER 7150 SMOKE RANCH RD, SUITE #150 LAS VEGAS NV 89128 GREAT PLAINS CLINIC P.C. 33 9TH ST W, DICKINSON ND 58601 CLEVELAND EYE AND LASER SURGERY CENTER LLC 22715 FAIRVIEW CENTER DR, FAIRVIEW PARK OH 44126 PHYSICIANS OF WINTER HAVEN LLC 2400 DUNDEE RD, WINTER HAVEN FL 33884 DUPAGE EYE SURGERY CENTER, LLC 2015 N MAIN ST, WHEATON IL 60187 SYLVAN SURGERY CENTER, INC. 2336 SYLVAN AVE, SUITE B MODESTO CA 95355 SOUTH CAROLINA ENDOSCOPY CENTER - NORTHEAST 11 GATEWAY CORNERS PARK, COLUMBIA SC 29203 SOUTHEASTERN UROLOGICAL PARTNERS LTD 2000 CENTRE POINTE BLVD, TALLAHASSEE FL 32308 MAIN STREET ASC LLC 1318 EISENHOWER BLVD, JOHNSTOWN PA 15904 DUNNING ST. AMBULATORY CARE CENTER, LLC 7 DUNNING ST, CLAREMONT NH 03743 SAN ANTONIO SURGERY CENTER 21 SPURS LN, SUBLEVEL 100 SAN ANTONIO TX 78240 CENTER FOR THE SURGICAL ARTS LLC 3107 FAIRWAY DRIVE, ALTOONA PA 16602 LOS GATOS SURGICAL CENTER, A CALIFORNIA LIMITED 15195 PARTNERSHIP NATIONAL AVE, SUITE 100 LOS GATOS CA 95032 AMSURG NORTHERN KENTUCKY GI LLC 340 THOMAS MORE PKWY, SUITE 160B CRESTVIEW HILLS KY 41017 AESCULAPIAN SURGERY CENTER, LLC 3333 CATTLEMEN RD, SUITE 100 SARASOTA FL 34232 SKIN CANCER TREATMENT CENTER, P.C. 13128 N 94TH DR, SUITE #101A PEORIA AZ 85381 LANCASTER NEUROSCIENCE & SPINE ASSOCIATES 1671 CROOKED OAK DR, THE CTR FOR SPINE CARE AT LANCASTER LANCASTER NEUROSCIENCE PA 17601 & SPIN NOVAMED SURGERY CENTER OF CHATTANOOGA, LLC 1949 GUNBARREL RD, SUITE 200 CHATTANOOGA TN 37421 WEST CENTRAL OHIO SURGERY & ENDOSCOPY CENTER,770 LLCW HIGH ST, STE 100 LIMA OH 45801 CASCADE PAIN MANAGEMENT CENTER, LLC 2150 RIVER PLAZA DR, STE 185 SACRAMENTO CA 95833 SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 139 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1801892724 1801894522 1801899687 1801899794 1801916275 1801923636 1801944343 1801949631 1801952346 1801961313 1801967815 1801974720 1801983556 1801987805 1801989710 1801990544 1801993217 1811001548 1811001860 1811003205 1811028293 1811052749 1811054737 1811057029 1811059306 1811060700 1811076623 1811080963 1811090350 PROVIDER NAME APPLE HILL SURGICAL CENTER NORTH EAST WYOMING SURGERY CENTER LLC TRINITY SURGERY CENTER LLC THE SURGERY CENTER AT PRINTERS PARK, LLC CENTRO OFTALMOLOGICO DE ARECIBO INC NASHVILLE GASTROINTESTINAL SPECIALISTS,INC. HUDSON VALLEY AMBULATORY SURGERY, LLC THIBODAUX SURGERY CENTER, LLC KENILWORTH SURGERY CENTER FELTON WONG WONG AND REYNOLDS PA CLINICA CIRUGIA AMBULATORIA DE PR SUMMIT SURGICAL CENTER LLC TRESANTI MEDICAL CORPORATION ENDO SURGI CENTER OF OLD BRIDGE LLC ANTHONY S KARUZA DPM PS INC MAINE CENTERS FOR HEALTHCARE EYE PHYSICIANS OF SUSSEX COUNTY AMBULATORY SURGERY CENTER OF OPELOUSAS THE OUTPATIENT CENTER OF BOYNTON BEACH LTD VIEWMONT SURGERY CENTER, LLC IEC SURGICAL CENTERS. LLC GDC ENDOSCOPY CENTER LLC SACRAMENTO MIDTOWN ENDOSCOPY CENTER GREENSBORO NC ENDOSCOPY ASC LLC PENINSULA EYE CENTER, P.A THE ENDOSCOPY CENTER SPARTANBURG UROLOGY SURGICENTER EPC, LLC GREEN SURGERY CENTER LLC SMA Informatics Confidential ADDRESS CITY ST 25 MONUMENT RD, STE 270 YORK PA 1307 W 3RD ST, GILLETTE WY 2102 TRINITY OAKS BLVD, TRINITY FL 175 S UNION BLVD, STE 100 COLORADO SPRINGS CO AVE DE DIEGO 404, ARECIBO PR 2010 CHURCH STREET, SUITE 420 NASHVILLE TN 75 CRYSTAL RUN RD, BLDG. B, SUITE #225 MIDDLETOWN NY 604 N ACADIA RD, SUITE 300 THIBODAUX LA 1104 KENILWORTH DR, STE 201 TOWSON MD 419 N HARRISON ST, SUITE 104 PRINCETON NJ CALLE PERAL ESQ DE DIEGO, EDIFICIO LA PALMA PISO MAYAGUEZ 6 PR 110 CARNIE BLVD, VOORHEES NJ 5201 NORRIS CANYON ROAD, #100 SAN RAMON CA 42 THROCKMORTON LN, OLD BRIDGE NJ 3120 SQUALICUM PKWY, BELLINGHAM WA 2 CHABOT ST, WESTBROOK ME 183 HIGH ST, NEWTON NJ 187 VENTRE BLVD, OPELOUSAS LA 2351 S SEACREST BLVD, BOYNTON BEACH FL 50 13TH AVE NE, HICKORY NC 170 MEDICAL DRIVE, HANNIBAL MO 318 BROADMOOR WAY, MCDONOUGH GA 3941 J ST, SUITE 460 SACRAMENTO CA 1593 YANCEYVILLE ST, SUITE 100 GREENSBORO NC 101 MILFORD ST, SALISBURY MD 870 SHASTA ST, SUITE 100 YUBA CITY CA 391 SERPENTINE DR, SUITE 330 SPARTANBURG SC 4900 BROAD RD, SYRACUSE NY 854 LONE OAK DRIVE, GALLATIN TN SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 140 ZIP 17403 82716 34655 80910 00614 37203 10941 70301 21204 08540 00680 08043 94583 08857 98225 04092 07860 70570 33435 28601 63401 30253 95819 27405 21804 95991 29303 13215 37066 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1811091374 1811095136 1811101439 1811125149 1811132020 1811142771 1811148869 1811163652 1811168164 1811172729 1811178981 1811220650 1811226244 1811228083 1811914625 1811920366 1811926702 1811929300 1811932270 1811932791 1811932916 1811933179 1811934482 1811936933 1811936990 1811938863 1811940141 1811940398 1811942998 PROVIDER NAME ADDRESS CITY RIVERSIDE EYE, EAR, NOSE & THROAT INSTITUTE SURGERY 4500CENTER BROCKTON AVE, SUITE #L05` RIVERSIDE GROSSMONT OUTPATIENT SURGICAL CENTER 5565 GROSSMONT CENTER DRIVE, BLDG. 3 SUITE 250 LA MESA SENTARA OBICI AMBULATORY SURGERY, LLC 2750 GODWIN BLVD, SUFFOLK KNOXVILLE ORTHOPAEDIC SURGERY CENTER LLC 256 FT. 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Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 141 ST ZIP CA CA VA TN NE MD CO MD RI IN CA IL MI AZ WA OR WI CT PA WA FL MI LA NC WA PA NC AZ LA 92501 91942 23434 37922 68137 21015 80501 21009 02893 46123 92543 61605 48186 85715 98026 97401 53081 06320 19115 98503 32806 49024 70115 28117 98104 19107 28210 85710 70359 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1811947062 1811950298 1811952948 1811955883 1811957251 1811962103 1811962210 1811970494 1811973589 1811973639 1811978356 1811981145 1811983364 1811992092 1811995137 1811995913 1821010638 1821019738 1821036138 1821036534 1821047499 1821049958 1821054412 1821064031 1821066200 1821066515 1821067554 1821068289 1821074485 PROVIDER NAME ADDRESS WACO GASTROENTEROLOGY ENDOSCOPY CENTER LLC 364 RICHLAND WEST CIR, SUITE B SOUTH HILL AMBULATORY SURGICAL CENTER 3707 S GRAND BLVD, SUITE A KENWOOD ASC, LLC 8250 KENWOOD RD, SUITE 102 THOUSAND OAKS ENDOSCOPY CENTER GENERAL PARTNERSHIP 227 W JANSS RD, SUITE 240 AMBULATORY SURGERY CENTER OF CENTRALIA, LLC 1045 M L KING DR, SALEM OR OPHTHALMOLOGY ASC LLC 1330 COMMERCIAL ST SE, GREEN SPRING STATION ENDOSCOPY LLC 10751 FALLS RD, SUITE 425 FOUNDATION SURGERY AFFILIATES OF S.W. HOUSTON 8111 LLC SOUTHWEST FWY, DAVIS SURGICAL CENTER, LLC 1544 W ANTELOPE DR, SUMMIT ORTHOPEDICS LTD 17 EXCHANGE ST W, #222 WESTISDE SURGERY CENTER, LLC 13240 SW PACIFIC HWY, SUITE 200 RIVERVIEW AMBULATORY SURGICAL CENTER LLC 423 3RD AVE, SUITE D NORTHERN OHIO SURGICAL CENTER 2800 HAYES AVE, ELKHART CLINIC ENDOSCOPY & SURGERY CENTER, LLC 2117 W LEXINGTON AVE, RINEHART LAKE MARY SURGICAL CENTER 917 RINEHART RD, SUITE 1001 DALLAS SURGICAL PARTNERS, LLC 3920 WORTH STREET, CATARACT AND LASER CENTER LLC 4102 OGLETOWN STANTON RD, SUITE 1 SANTA BARBARA ENDOSCOPY CENTER 25 W MICHELTORENA ST, GAMMA SURGERY CENTER, LLC 107 GAMMA DR, SUITE 200 PARKWAY SURGERY CENTER, LLC 17 WESTERN MARYLAND PKWY, SUITE 102 RIVERSIDE SURGERY CENTER, INC. 2801 PARK MARINA DR, ASSOCIATED EYE CARE AMBULATORY SURGERY CENTER2950 LLC CURVE CREST BLVD, HAWAII ENDOSCOPY CENTER LLC 2226 LILIHA STREET, SUITE 407 PIEDMONT DAY SURGERY CENTER INC 1040 MAIN ST, LOWCOUNTRY OUTPATIENT SURGERY CENTER 93A SPRINGVIEW LN, MARION HEALTHCARE 3003 CIVIC CIRCLE BLVD, OLD TOWN ENDOSCOPY CENTER LLC 5500 GREENVILLE AVE, #1100 CITRUS UROLOGY CENTER 3075 W GULF TO LAKE HWY, SURGERY CENTER OF FARMINGTON, L.L.C. 400 PARKLAND DR, SMA Informatics Confidential CITY WACO SPOKANE CINCINNATI THOUSAND OAKS CENTRALIA SALEM LUTHERVILLE HOUSTON LAYTON SAINT PAUL TIGARD KINGSTON SANDUSKY ELKHART LAKE MARY DALLAS NEWARK SANTA BARBARA PITTSBURGH HAGERSTOWN REDDING STILLWATER HONOLULU DANVILLE SUMMERVILLE MARION DALLAS LECANTO FARMINGTON SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 142 ST ZIP TX WA OH CA IL OR MD TX UT MN OR PA OH IN FL TX DE CA PA MD CA MN HI VA SC IL TX FL MO 76712 99203 45236 91360 62801 97302 21093 77074 84041 55102 97223 18704 44870 46514 32746 75246 19713 93101 15238 21740 96001 55082 96817 24541 29485 62959 75206 34461 63640 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1821082702 1821091802 1821092206 1821093204 1821095910 1821098443 1821101197 1821106907 1821106923 1821112145 1821115700 1821115841 1821124587 1821127275 1821133133 1821141284 1821141441 1821158544 1821159823 1821166521 1821167479 1821170499 1821174780 1821181488 1821182965 1821183237 1821194754 1821195025 1821219718 PROVIDER NAME ADDRESS CLARKSVILLE ENDOSCOPY CENTER 132 HILLCREST DR, VINCENNES SURGERY CENTER LP 300 N 1ST ST, SUTTER FAIRFIELD SURGERY CENTER, LLC 2700 LOW CT, FL 2 LAUREL LASER & SURGERY CENTER, L.P. 52 WATERFORD PIKE, SURGERY CENTER 19250 BAGLEY RD, HAZLETON AMBULATORY SURGICAL CENTER LLC 1062 N CHURCH ST, OLYMPIA MULTI-SPECIALTY CLINIC, 3920 CAPITOL MALL DR SW, SUITE 300 ENDOSCOPY ASSOCIATES LLC 7401 OSLER DR, SUITE 108 ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC 519 STEPHENSON AVE, SCRIPPS ENCINITAS SURGERY CENTER, LLC 320 SANTA FE DR # LL2, URBANA GI ENDOSCOPY CENTER, LLC 3280 URBANA PIKE, SUITE 104 SUNCOAST MEDICAL CLINIC LLC 601 7TH ST S, VITAL SIGHT, PC 5632 E 5TH ST, ELITE SURGERY CENTER, INC. 16311 VENTURA BLVD, SUITE 1085 MASON RIDGE AMBULATORY SURGERY CENTER, LP 12855 N 40 DR, SUITE 100 CENTER FOR HEALTH AMBULATORY SURGERY CENTER,8800 LLC ROUTE 91 NORTH, INLAND ENDOSCOPY CENTER 10408 INDUSTRIAL CIRCLE, CASCADE MEDICAL GROUP PS INC 111 S 13TH ST, CSD ASC LLC 428 COUNTY LINE ROAD, SUITE 100 PHYSICIANS SURGERY CENTER LLC 1800 HIGHWAY 95, EVERGREEN EYE CENTER INC PS 34719 6TH AVE S, EYE CARE SURGERY CENTER OF EVANSVILLE, LLC 6540 LOGAN DRIVE, SUITE 3 PREMIER AMBULATORY SURGERY OF AUSTIN LLP 4207 JAMES CASEY ST, SUITE 203 ADVANCED SURGERY MEDICAL CENTER, LLC 2391 LANAI AVE, SUITE 2B MERIDIAN PLASTIC SURGERY CENTER 4220 BULL CREEK RD, COOSA PROCEDURE CENTER 18 RIVERBEND PKWY, SUITE 120 COASTAL SURGICAL SPECIALITS, INC. 921 OAK PARK BLVD, 101 GREATER EAST BAY ENDOSCOPY CENTER, INC 22455 MAPLE CT, SUITE 150 WASHINGTON SURGERY CENTER, INC. 16 CHAMBER DR, SMA Informatics Confidential CITY CLARKSVILLE VINCENNES FAIRFIELD BROOKVILLE CLEVELAND HAZLETON OLYMPIA TOWSON SAVANNAH ENCINITAS IJAMSVILLE ST PETERSBURG TUCSON ENCINO SAINT LOUIS PEORIA REDLANDS MOUNT VERNON WESTERVILLE BULLHEAD CITY FEDERAL WAY EVANSVILLE AUSTIN SAN JOSE AUSTIN ROME PISMO BEACH HAYWARD WASHINGTON SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 143 ST ZIP TN IN CA PA OH PA WA MD GA CA MD FL AZ CA MO IL CA WA OH AZ WA IN TX CA TX GA CA CA MO 37043 47591 94534 15825 44130 18202 98502 21204 31405 92024 21754 33701 85711 91436 63141 61615 92374 98274 43082 86442 98003 47715 78745 95122 78731 30161 93449 94541 63090 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1821223827 1821249616 1821250176 1821276353 1821279720 1821285073 1821327560 1831107200 1831109560 1831109875 1831110170 1831116615 1831116698 1831117704 1831118892 1831122159 1831125962 1831134121 1831139955 1831140151 1831144047 1831148527 1831153527 1831165331 1831167253 1831167329 1831177567 1831180272 1831182641 PROVIDER NAME ADDRESS CHINA LAKE SURGERY CENTER, LLC 1111 N CHINA LAKE BLVD, SUITE 2A LINCOLN SURGERY CENTER LLC 11960 E. LIONESS WY., SUITE 120 NORTHSHORE AMBULATORY SURGERY CENTER LLC 17174 S I-12 SERVICE RD, PEND OREILLE SURGERY CENTER LLC 30544 HIGHWAY 200 STE 201, NEW ORLEANS LA UPTOWN WEST BANK ENDOSCOPY ASC 2633LLC NAPOLEON AVE, SUITE 707 GLENDORA CA ENDOSCOPY ASC LP 1794 S BARRANCA AVE, JUNEAU SPINE AND PAIN CENTER LLC 3200 HOSPITAL DR, SUITE 100 BRIAN S KAHAN DO PA 2002 MEDICAL PKWY, SUITE 150 NEW MEXICO ORTHOPAEDIC SURGERY CENTER, LP 201 CEDAR SE, SUITE 7650 M-S SURGERY CENTER LLC 3510 MARTIN LUTHER KING JR BLVD, SOUTHERN INDIANA ENDOSCOPY, LLC 2630 GRANT LINE RD, EAST BAY SURGERY CENTER LLC 440 SWANSEA MALL DR, LASER AND OUTPATIENT SURGERY CENTER LLC 6925 NW 11TH PL, MEDICAL HEIGHTS SURGERY CENTER 240 FOUNTAIN CT, FACIAL PLASTIC SURGICENTER 1838 GREENE TREE RD, STE 370 SOUTH SHORE ENDOSCOPY CENTER, INC 659 WASHINGTON ST, APAC SURGICAL CENTER II, LLC 11460 S. 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Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 144 ST ZIP CA CO LA ID LA CA AK MD NM CA IN MA FL KY MD MA IN GA PA FL PA IN MD WA OR LA CA MO AR 93555 80134 70403 83852 70115 91740 99801 21401 87106 90262 47150 02777 32605 40509 21208 02184 46307 31602 19090 33186 18840 46290 21012 99204 97062 70301 92501 63141 72903 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1831182799 1831184019 1831195379 1831198191 1831199389 1831200120 1831203215 1831206085 1831214717 1831217231 1831224922 1831230788 1831235878 1831238773 1831240928 1831249341 1831259795 1831265321 1831274208 1831275775 1831280536 1831283860 1831287580 1831349406 1831354414 1831360247 1831366517 1831368356 1831391572 PROVIDER NAME ADDRESS ZION EYE INSTITUTE, INC 1791 E 280 N, REDMOND SURGERY CENTER, LLC 244 NORTHWEST KINGWOOD AVENUE, SUITE A LARGO SURGERY LLC 1401 W BAY DR, IOWA EYE INSTITUTE PC 1721 W 18TH ST, ASSOCIATES IN OTOLARYNGOLOGY HEAD & NECK SURGERY 48 ELM PCST, FAMILY SURGERY CENTER 1801 19TH AVE SW, YOUNGSIK MOON, M.D., P.A. 24435 MERVELL DEAN RD, LIBERTY AMBULATORY SURGERY CENTER LP 834 W KANSAS, STE B ADVANCED ENDOSCOPY CENTER OF HOWARD COUNTY, 8875 LLC CENTRE PARK DR, STE D THE ENDOSCOPY CENTER AT BAINBRIDGE LLC 8185 E WASHINGTON ST, SUITE 106 ANGELINA THERESA BUCCI EYE SURGERY CENTER 158 WILKES BARRE TOWNSHIP BLVD, LACKAWANNA PHYSICIANS AMBULATORY SURGERY CENTER 423 SCRANTON CARBONDALE HWY, SOUTHERN CALIFORNIA STONE CENTER 5400 BALBOA BLVD, SUITE 111 CORPUS CHRISTI ENDOSCOPY CENTER LLP 6421 SARATOGA BLVD, BLDG 105 NEW GULF COAST SURGERY CENTER, LLC 3882 BIENVILLE BLVD, ENDOSCOPY CENTER OF THE MID-SOUTH, LLC 3960 KNIGHT ARNOLD RD, SUITE 117 GRAND STREET GASTROENTEROLOGY 33 GRAND ST, PCS ENDOSCOPY SUITE, INC. 500 S 11TH AVE, SUITE 303 MT KISCO SURGERY CENTER LLC 34 SOUTH BEDFORD ROAD, NJ GASTRO & ENDOSCOPY CE 1825 ROUTE 23 SOUTH, FIRST FLOOR EFFINGHAM SURGICAL PARTNERS, LLC 904 W TEMPLE AVE, THE COOKEVILLE SURGERY CENTER 100 W 4TH ST, SUITE 100 CLINTON COUNTY OUTPATIENT SURGERY 1150 W LOCUST ST, SUITE 200 GASTROENTEROLOGY EAST, P.A. 2210 HEMBY LN, SOUTHWESTERN EYE CENTER 3003 HIGHWAY 95, STE. 63 SURGICAL CENTER OF COLUMBIA ORTHOPAEDIC GROUP 1 SOUTH LLC KEENE, PACIFIC CATARACT AND LASER INSTITUTE INC PC 534 E SPOKANE FALLS BLVD, SUITE 200 VERMONT EYE SURGERY & LASER CENTER 1100 HINESBURG RD, SUITE 101 CENTRAL WASHINGTON GASTROENTEROLOGY 175 E PENNY RD, SUITE C SMA Informatics Confidential CITY ST ST GEORGE UT REDMOND OR LARGO FL SPENCER IA WORCESTER MA WILLMAR MN HOLLYWOOD MD LIBERTY MO COLUMBIA MD CHAGRIN FALLS OH WILKES BARRE PA SCRANTON PA ENCINO CA CORPUS CHRISTI TX OCEAN SPRINGS MS MEMPHIS TN KINGSTON NY POCATELLO ID MT KISCO NY WAYNE NJ EFFINGHAM IL COOKEVILLE TN WILMINGTON OH GREENVILLE NC BULLHEAD CITY AZ COLUMBIA MO SPOKANE WA SOUTH BURLINGTONVT WENATCHEE WA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 145 ZIP 84790 97756 33770 51301 01609 56201 20636 64068 21045 44023 18702 18508 91316 78414 39564 38118 12401 83201 10549 07470 62401 38501 45177 27834 86442 65201 99202 05403 98801 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1831420694 1841213923 1841222353 1841226552 1841229705 1841231792 1841234150 1841237831 1841246923 1841251501 1841253838 1841254695 1841255718 1841255767 1841255775 1841256302 1841259611 1841259694 1841270675 1841275211 1841284742 1841286101 1841286267 1841290103 1841295201 1841295227 1841295425 1841298437 1841304797 PROVIDER NAME ADDRESS CITY TITUSVILLE CENTER FOR SURGICAL EXCELLENCE LLC 814 S WASHINGTON AVE, TITUSVILLE NORTH SHORE SURGI-CENTER INC 989 W JERICHO TPKE, SMITHTOWN DAY-OP CENTER OF LONG ISLAND, INC. 110 WILLIS AVE, MINEOLA NAPLES EYE SURGERY CENTER 1890 SW HEALTH PKWY, SUITE 105 NAPLES ADVANCED MEDICAL SURGERY CENTER 1117 LOS PALOS DR, SALINAS NORTH HAVEN SURGERY CENTER, LLC 52 WASHINGTON AVENUE, SUITE #1 NORTH HAVEN HINSDALE SURGICAL CENTER, LLC 908 NORTH ELM STREET, SUITE 401 HINSDALE LOS ANGELES SURGICAL CENTER 2200 W 7TH ST, LOS ANGELES VERO EYE CENTER 70 ROYAL PALM PT, SUITE A VERO BEACH ST. AUGUSTINE ENDOSCOPY CENTER 212 SOUTHPARK CIR E, ST AUGUSTINE RIO GRANDE SURGERY CENTER ASSOCIATES, L.P. 1809 S CYNTHIA ST, MCALLEN COLUMBIA FOOT AND ANKLE AMBULATORY SURGICAL6100 CENTER, DAYLONG LLC LN, SUITE 102 CLARKSVILLE PAOLI SURGERY CENTER LP 1 INDUSTRIAL BLVD, PAOLI GOLDEN SURGERY CENTER LP 13952 DENVER WEST PKWY, BLDG. 53, SUITE 100 GOLDEN DUBUQUE ENDOSCOPY CENTER 1515 DELHI ST, STE 500 DUBUQUE NEW ENGLAND PAIN CARE 10 CENTENNIAL DR, EAST ENTRANCE PEABODY ALTA-ROSE SURGERY CENTER LLC 501 ROSE ST, SUITE 110 LAS VEGAS ENT FACIAL SURGERY CENTER 1351 E SPRUCE AVE, FRESNO EYECARE CONSULTANTS SURGERY CENTER LLC 101 NW 1ST ST, SUITE 104, OLD POST OFFICE PLACEEVANSVILLE HELENA SURGICENTER, LLC 2440 WINNE AVE, SUITE 100 HELENA NORTHGATE SURGERY CENTER, LLC 3605 NORTHGATE CT, STE 101 NEW ALBANY GOOD SAMARITAN SURGERY CENTER LLC 1322 3RD ST SE, 100 PUYALLUP SURGERY CENTER OF SOUTHERN OREGON, LLC 2798 E BARNETT RD, MEDFORD CENTRAL FLORIDA EYE INSTITUTE 3133 SW 32ND AVE, OCALA DIGESTIVE DISEASE INSTITUTE 899 POPLAR CHURCH RD, CAMP HILL GRAND TETON SURGICAL CENTER LLC 2290 CORONADO ST, IDAHO FALLS CROSS TIMBERS SURGERY CENTER 1001 N WALDROP DR, STE 705 ARLINGTON WEST PALM OUTPATIENT SURGERY AND LASER CENTER200 LTDNORTHPOINT PKWY, WEST PALM BEACH SOUTH GEORGIA ENDOSCOPY CENTER, INC 1501 ALICE ST, WAYCROSS SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 146 ST ZIP FL NY NY FL CA CT IL CA FL FL TX MD PA CO IA MA NV CA IN MT IN WA OR FL PA ID TX FL GA 32780 11787 11501 34109 93901 06473 60521 90057 32960 32086 78503 21029 19301 80401 52001 01960 89106 93720 47708 59601 47150 98372 97504 34474 17011 83404 76012 33407 31501 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1841305521 1841315819 1841316841 1841325214 1841341039 1841342789 1841347143 1841357704 1841361052 1841362720 1841363736 1841368867 1841371960 1841378056 1841395621 1841395894 1841397171 1841431376 1841444593 1841462488 1841468782 1841495132 1841526332 1851312771 1851316863 1851317614 1851318521 1851338677 1851342430 PROVIDER NAME ADDRESS CITY HEADACHE AND PAIN AMBULATORY SURGERY CENTER2121 PEASE ST, SUITE 305 HARLINGEN PLEASANTON SURGERY CENTER, LLC 1393 SANTA RITA RD, SUITE F PLEASANTON PACIFIC ENDOSCOPY CENTER, LLC 1029 MAKOLU STREET, SUITE H PEARL CITY AMBULATORY CENTER FOR AESTHETIC AND RECONSTRUCTIVE 56 THOMAS SURGERY JOHNSON DR, SUITE 100 FREDERICK MID-MANHATTAN SURGI-CENTER, INC. 61 W 23RD ST, 7TH FLOOR NEW YORK SURGERY CENTER JV 721 MADISON ST SE, HUNTSVILLE RUXTON SURGICENTER LLC 8322 BELLONA AVE, SUITE 201 TOWSON JACKSON EYE INSTITUTE AMBULATORY SURGERY CENTER 2500 LAKELAND DR, SUITE B JACKSON AESTHETIC LASER & SURGERY FACILITY 416 GORDON AVE, THOMASVILLE GENERAL SURGERY AMBULATORY SURGICAL CENTER, A.S.C., 3333 NL.L.C. CALVERT ST, SUITE 655 BALTIMORE CBCC PAIN MEDICINE & SURGERY CENTER 6501 TRUXTUN AVE # 190, BAKERSFIELD DUBLIN EYE SURGERY CENTER LLC 2400 BELLEVUE RD, 17 ERIN OFFICE PARK DUBLIN SKIN SURGERY CENTER, P.S. 1229 MADISON ST, SUITE 1480 SEATTLE FULL SPECTRUM EYE CARE, P.S. 475 BRADLEY BLVD, RICHLAND BERKELEY ENDOSCOPY CTR 1072 WILDWOOD CENTRE DR, COLUMBIA FRANKLIN ENDOSCOPY CENTER. LLC 740 COOL SPRINGS BLVD, STE 210B FRANKLIN SUMMIT ASC, LLP 4126 SW FREEWAY, SUITE 108 HOUSTON STATELINE SURGERY CENTER, LLC 444 FOUR STATES DR, SUITE 2 GALENA TEANECK SURGICAL CENTER, LLC 730 PALISADE AVE FL 2, TEANECK SSC II LLC 111 GOOSE LN, GUILFORD GARWYN UROLOGICAL CENTER 2300 GARRISON BLVD, 107 GARWYN UROLOGICAL BALTIMORE CENTER UTICA ASC PARTNERS, LLC 11051 HALL RD, SUITE 230 UTICA TRINTY HEALTH 1102 MAIN ST, WILLISTON COLUMBUS ENDOSCOPY CENTER, INC 600 LEIGH DR, COLUMBUS HAND AND WRIST SURGERY CENTER 19930 BALLINGER WAY NE, SHORELINE KENDALL POINTE SURGERY CENTER LLC 100 W FIFTH STREET, OSWEGO INGALLS SAME DAY SURGERY CENTER 6701 159TH ST, LOWER LEVEL TINLEY PARK DELAWARE SURGERY CENTER, LLC 200 BANNING ST, SUITE 110 DOVER BEL AIR AMBULATORY SURGICAL CENTER ,L.L.C. 2007 ROCK SPRING RD, LOWER LEVEL FOREST HILL SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 147 ST ZIP TX CA HI MD NY AL MD MS GA MD CA GA WA WA SC TN TX KS NJ CT MD MI ND MS WA IL IL DE MD 78550 94566 96782 21702 10010 35801 21204 39232 31792 21218 93309 31021 98104 99352 29229 37067 77027 66739 07666 06437 21216 48317 58801 39705 98155 60543 60477 19904 21050 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1851343719 1851354377 1851356786 1851358964 1851363279 1851367486 1851369284 1851369615 1851371611 1851391783 1851396014 1851399646 1851406821 1851407373 1851407399 1851407795 1851408389 1851444079 1851467740 1851467831 1851469738 1851474365 1851475461 1851486195 1851486328 1851490445 1851491013 1851516728 1851520514 PROVIDER NAME THE MACKOOL EYE INSTITUTE, LLC MANATEE SURGICARE LTD WAUSAU SURGERY CENTER LP SURGICAL CENTER AT PREMIER LLC ENDOSCOPY CENTER OF CENTRAL PENNSYLVANIA LATTIMORE ROAD SURGICENTER INC. FREMONT AMBULATORY SURGERY CENTER OPHTHALMOLOGY ASSOCIATES, LLC TRI-CITY ORTHOPEDIC CENTER LLC INLAND EMPIRE ENDOSCOPY CENTER ARC WORCESTER CENTER LP NORTHWEST REGIONAL ASC, LLC HAZELTON SURGERY CENTER, LLC RIVERSIDE AMBULATORY SURGERY CENTER, LLC SOUTHERN NEW MEXICO SURGERY CENTER, LLC NORTHERN ILLINOIS SURGERY CENTER, L.P. MACARTHUR SURGERY CENTER SOUTH MEADOWS ENDOSCOPY CENTER, LLC FLORIDA MEDICAL CLINIC PA PHOENIX HEALTH ASSOCIATES OF FORT SMITH LACKAWANNA SURGERY CENTER LLC NORTHEAST ENDOSCOPY CENTER, LLC TEXOMA VALLEY SURGERY CENTER BEL-RED AMBULATORY SURGICAL FACILITY REGIONAL SURGICAL SERVICES, LLC GOLDEN STATE EYE SURGERY CENTER NEW ENGLAND AMBULATORY SURGICENTER, LLC PHOENIX ENDOSCOPY LLC CAPITOL SURGERY CENTER LLC SMA Informatics Confidential ADDRESS 3127 41ST ST, 411 2ND ST E, 2809 WESTHILL DR, 3920 N UNION BLVD, SUITE 240 1421 FISHBURN RD, 125 LATTIMORE RD, 39350 CIVIC CENTER DR SUITE 100, 10755 FALLS RD, 985 GOETHALS DR, 105 W 8TH AVE, SUITE 6050 300 GROVE ST, 10170 CHURCH RANCH WAY, SUITE 110 50 MOISEY DRIVE, SUITE 100 300 RIVERSIDE DR STE 1100, 2301 INDIAN WELLS RD STE B, 475 E DIEHL RD, 2120 MACARTHUR BLVD, STE. 200 10619 PROFESSIONAL CIR, 38135 MARKET SQ, 3601 W E KNIGHT DRIVE, 415 ADAMS AVENUE, 59 COMPOSITE WAY, 1419 N TRAVIS ST, 1260 116TH AVE NE, SUITE 110 120 HOCKMAN PIKE, 1001 TOWER WAY, SUITE 150B 799 CONCORD AVE, 349 EAST CORONADO ROAD, 2480 LIBERTY ST NE, SUITE 120 CITY ST ASTORIA NY BRADENTON FL WAUSAU WI COLORADO SPRINGS CO HERSHEY PA ROCHESTER NY FREMONT CA LUTHERVILLE MD RICHLAND WA SPOKANE WA WORCESTER MA WESTMINSTER CO HAZELTON PA BOURBONNAIS IL ALAMOGORDO NM NAPERVILLE IL IRVING TX RENO NV ZEPHYRHILLS FL FORT SMITH AR SCRANTON PA LOWELL MA SHERMAN TX BELLEVUE WA BLUEFIELD VA BAKERSFIELD CA CAMBRIDGE MA PHOENIX AZ SALEM OR SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 148 ZIP 11103 34208 54401 80907 17033 14620 94538 21093 99352 99204 01605 80021 18202 60914 88310 60563 75061 89521 33542 72903 18510 01851 75092 98004 24605 93309 02138 85004 97301 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1851531248 1851548655 1851552483 1851567291 1851568067 1851595177 1851623961 1861405607 1861408643 1861415846 1861418378 1861444838 1861449571 1861458507 1861462038 1861463259 1861470486 1861485138 1861487324 1861490120 1861491987 1861492530 1861494007 1861496564 1861497380 1861501835 1861505166 1861538613 1861550246 PROVIDER NAME ADDRESS LASER SURGERY HOLDING COMPANY, LTD 10255 N 32ND ST, CHARLOTTE GASTROENTEROLOGY & HEPATOLOGY, PLLC 2015 RANDOLPH RD, SUITE 101 SKYLINE SURGERY CENTER INC 285 VISTA DRIVE, SUITE C KHATALI AMBULATORY SURGERY CENTER, LLC 10450 E RIGGS RD, SUITE 101 WALNUT CREEK ENDOSCOPY CENTER LLC 365 LENNON LN STE 100, HOUSTON ORTHOPEDIC SURGERY CENTER, LLC 3051 WATSON BLVD, DUITE 800 ALEXANDER EYE SURGERY CENTER, LLC 250 N METRO DR, CEDAR PARK SURGERY CENTER 801 E WHITESTONE BLVD, SUITE 100 SPECIALTY SURGICAL CENTER OF ARCADIA LP 51 N 5TH AVE, STE. 101 COLLEGE PARK FAMILY CARE CENTER, P.A. 11725 W 112TH ST, MAPLEWOOD AMBULATORY SURGICAL 4301 MAPLEWOOD AVENUE, SUITE C LAS CRUCES SURGERY CENTER LP 4351 E LOHMAN AVE, SUITE 102 KIRURGS, LLC 940 SETON DR, BRASS PARTNERSHIP IN COMMENDAM 5328 DIDESSE DR, AESTIQUE AMBULATORY SURGICAL CENTER, INC ONE AESTHETIC WAY, ORLANDO CENTER FOR OUTPATIENT SURGERY LP 1405 S ORANGE AVE, SUITE 400 ORLAND PARK SURGICAL CENTER LLC 9550 WEST 167 STREET, DISCOVER EYE SURGERY CENTER, LLC 4801 S CLIFF AVE, STE 101 DOCTORS PARK SURGERY INC 30 DOCTORS PARK, DELMARVA SURGERY CENTER, LLC 641 S SALISBURY BLVD, THE PLASTIC SURGERY CENTER LAND, LLC 5361 REYNOLDS ST, GRANTS PASS SURGERY CENTER, LLC 1601 NW HAWTHORNE AVE, CLIFTON SURGERY CENTER INC 1117 ROUTE 46, DIGESTIVE HEALTHCARE ENDOSCOPY CENTER 95 COLLIER RD NW, STE 4075 NORTHEAST NEBRASKA SURGERY CENTER, LLC 301 N 27TH ST, STE 3 THE ENDOSCOPY CENTER OF SOUTHEAST MASS ,LLC 1 PEARL ST, ST 1200 THEDACARE, INCORPORATED 100 COUNTY ROAD B, CENTRACARE SURGERY CENTER 1900 CENTRACARE CIR, BOYNTON BEACH ASC, LLC 1717 W WOOLBRIGHT RD, SMA Informatics Confidential CITY PHOENIX CHARLOTTE POCATELLO SUN LAKES WALNUT CREEK WARNER ROBINS APPLETON CEDAR PARK ARCADIA OVERLAND PARK WICHITA FALLS LAS CRUCES CUMBERLAND BATON ROUGE GREENSBURG ORLANDO ORLAND PARK INDEPENDENCE CAPE GIRARDEAU SALISBURY SAVANNAH GRANTS PASS CLIFTON ATLANTA NORFOLK BROCKTON SHAWANO SAINT CLOUD BOYNTON BEACH SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 149 ST ZIP AZ NC ID AZ CA GA WI TX CA KS TX NM MD LA PA FL IL MO MO MD GA OR NJ GA NE MA WI MN FL 85028 28207 83201 85248 94598 31093 54913 78613 91006 66210 76308 88011 21502 70808 15601 32806 60467 64055 63703 21801 31405 97526 07013 30309 68701 02301 54166 56303 33426 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1861563561 1861570798 1861580870 1861585820 1861596967 1861632317 1861648404 1861657256 1861660151 1861663098 1861684458 1861689382 1861716904 1871504803 1871511758 1871512756 1871513705 1871514067 1871526004 1871529180 1871529388 1871536037 1871536763 1871538140 1871538694 1871542688 1871545707 1871550392 1871557652 PROVIDER NAME ADDRESS HOLDINGS,LLC 550 HARRISON ST STE 230, GULFSTREAM AMBULATORY SURGICAL CENTER LLC 1460 N UNIVERSITY DR, CAROLINAS PHYSICIANS NETWORK INC 1000 BLYTHE BLVD, SUITE 400 RED BLUFF SURGERY CENTER,INC. 345 HICKORY ST, G.I.ENDOSCOPY CENTER 6555 PROFESSIONAL PL, SUITE B RIVERDALE SURGERY CENTER LLC 44 STATE RT 23, STE 15A MUSKEGON SC, LLC 1400 MERCY DR, INDIANA ENDOSCOPY CENTERS LLC 10967 ALLISONVILLE RD, SUITE 100 HOWERTON SURGICAL CENTER 2610 S INTERSTATE 35, ASCENT SURGERY CENTER, LLC 5901 CORPORATE DR, HISPANIC AMERICAN ENDOSCOPY CENTER, L.L.C. 3538 W FULLERTON AVE, LIFEBRIDGE INVESTMENTS, INC 515 FAIRMOUNT AVE, STE 500 DOWNEY PLASTIC SURGERY TR 1536 N 115TH ST, SUITE 105 SLADE ASC, LLC 10 CROSSROADS DRIVE, SUITE 104 PENINSULA SURGERY CENTER LLC 12000 WARWICK BLVD, EASTSIDE UROLOGY ASSOCIATES,. P.S. 11911 NE 132ND ST, SUITE 200 SQUAW PEAK SURGICAL FACILITY INC 1635 E MYRTLE #100, GREENBELT UROLOGY INSTITUTE, L.L.C. 7813 BELLE POINT DR, THE SKIN CANCER CENTER, INC. 3024 BURNET AVE, CAPITAL AREA SURGERY CENTER, LLC 141 THOMAS JOHNSON DR STE 190, PRG DALLAS ASC, LP 2801 LEMMON AVE STE 400, SSM ST. JOSEPH ENDOSCOPY CENTER, LLC 4203 CLOVER LEAF, ROCKFORD GASTROENTEROLOGY ASSOCIATES, LTD. 401 ROXBURY RD, INLAND EYE SPECIALISTS, A MEDICAL CORPORATION 25395 HANCOCK AVE, SUITE 100 SOUTHWEST ENDOSCOPY LTD 7788 JEFFERSON ST NE, PAPILLION EYE SURGICAL CENTER, INC 535 FORTUNE DR, SUITE 200, BEVERLY HILLS AMBULATORY SURGERY CENTER 435 N ROXBURY DR, STE. 104 CONNECTICUT SURGERY CENTER LIMITED PARTNERSHIP 81 GILLETT ST, PORT ST LUCIE SURGERY CENTER LTD 1310 SE WEST STAR AVE, SMA Informatics Confidential CITY ST SYRACUSE NY CORAL SPRINGS FL CHARLOTTE NC RED BLUFF CA RIVERDALE GA RIVERDALE NJ MUSKEGON MI FISHERS IN AUSTIN TX COLORADO SPRINGS CO CHICAGO IL TOWSON MD SEATTLE WA OWINGS MILLS MD NEWPORT NEWS VA KIRKLAND WA PHOENIX AZ GREENBELT MD CINCINNATI OH FREDERICK MD DALLAS TX ST. PETERS MO ROCKFORD IL MURRIETA CA ALBUQUERQUE NM PAPILLION NE BEVERLY HILLS CA HARTFORD CT PORT ST LUCIE FL SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 150 ZIP 13202 33071 28203 96080 30274 07457 49444 46038 78704 80919 60647 21286 98133 21117 23601 98034 85020 20770 45219 21702 75204 63376 61107 92562 87109 68046 90210 06105 34952 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1871568329 1871570424 1871574145 1871575043 1871581876 1871586149 1871591248 1871593269 1871594275 1871594499 1871596114 1871602227 1871608216 1871609420 1871609610 1871609834 1871644096 1871658658 1871674481 1871678664 1871698894 1871711689 1871718270 1871720540 1871729111 1871749952 1871751024 1871751859 1871755603 PROVIDER NAME ADDRESS CITY ST ZIP ROCKVILLE MD ENDOSCOPY ASC LLC 15005 SHADY GROVE RD, SUITE 200 ROCKVILLE MD 20850 ARIZONA DIGESTIVE INSTITUTE LLC 7566 N LA CHOLLA BLVD, TUCSON AZ 85741 SURGERY CENTER AT REGENCY PARK, LLC 2000 REGENCY CT STE 101, TOLEDO OH 43623 AMBULATORY SURGERY CENTER OF COOL SPRINGS LLC2009 MALLORY LN, SUITE 100 FRANKLIN TN 37067 OPHTHALMOLOGY LTD EYE SURGERY CENTER 6601 S. MINNESOTA AVENUE, SUITE 100 SIOUX FALLS SD 57108 DISCOVER VISION SURGERY & LASER CENTER LLC 11705 ROE AVE, LEAWOOD KS 66211 NOVAMED SURGERY CENTER OF NASHUA, LLC 5 COLISEUM AVE, NASHUA NH 03063 ACADIANA SURGERY CENTER, INC. 2309 E MAIN ST, SUITE 102 NEW IBERIA LA 70560 DESTIN SURGERY CENTER, LLC 4485 FURLING LN, DESTIN FL 32541 NORTHLAKE ENDOSCOPY CENTER 1459 MONTREAL RD, SU 204 TUCKER GA 30084 NORTHERN ARIZONA SURGICENTER, LLC 1020 N SAN FRANCISCO ST, # 100 FLAGSTAFF AZ 86001 KAREN J. JOHNSON ASC, LLC 4700 HALE PKWY, SUITE 140 DENVER CO 80220 HIGH PLAINS SURGERY CENTER LP 3610 22ND STREET, LUBBOCK TX 79410 ROCKWOOD CLINIC PS 12409 E MISSION AVE, SPOKANE VALLEY WA 99216 ENDOUROLOGICAL INSTITUTE, INC. CONDOMINIO TORRE MEDICA AUXILIO MUTUO AVE HATO PONCE REYDE LEON, PDA. PR 3700917 1/2 SUITE 608-612 SPINE INTERVENTION CENTER, LLC 998 HOSPITALITY WAY, SUITE A ABERDEEN MD 21001 SARASOTA PLASTIC SURGERY CENTER INC 2255 S TAMIAMI TRL, SARASOTA FL 34239 PARKWEST SURGERY CENTER, LLC. 3676 PARKER BLVD, SUITE 140 PUEBLO CO 81008 CAROLINAS PHYSICIANS NETWORK INC 15110 JOHN J DELANEY DR, SUITE 120 CHARLOTTE NC 28277 ROBBINS EYE CENTER PC 4695 MAIN ST, BRIDGEPORT CT 06606 TRISTATE CENTERS FOR SIGHT SURGERY CENTER 8044 MONTGOMERY RD, SUITE 155 CINCINNATI OH 45236 CONGRESSIONAL AMBULATORY SURGERY CENTER, L.L.C. 15005 SHADY GROVE RD, SUITE 130 ROCKVILLE MD 20850 PRINCE GEORGES MULTI SPECIALTY SURGERY CENTER 8700 CENTRAL AVENUE, SUITE 105 LANDOVER MD 20785 BALL OUTPATIENT SURGERY CENTER, LLC 2401 W UNIVERSITY AVE, MUNCIE IN 47303 RIVERVIEW AMBULATORY SURGICAL CENTER, LLC 423 3RD AVE, SUITE D KINGSTON PA 18704 COMPREHENSIVE OUTPATIENT SURGERY CENTER, LP 250 N ROBERTSON BLVD, 508 BEVERLY HILLS CA 90211 AMBULATORY SURGERY CENTER FOR PAIN RELIEF LLC 2330 LYNCH RD, SUITE 100B EVANSVILLE IN 47711 WESTMINSTER SURGERY CENTER 826 WASHINGTON RD, WESTMINSTER MD 21157 HANOVER MEDICAL SPECIALISTS PA 1515 DOCTORS CIR, HANOVER MEDICAL SPECIALISTS WILMINGTON PA NC 28401 SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 151 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1871764712 1871774174 1871789172 1871799510 1871811257 1881612042 1881618403 1881620466 1881620995 1881627578 1881631497 1881639318 1881642288 1881645810 1881651206 1881651453 1881652717 1881658524 1881659613 1881661379 1881662799 1881662856 1881667368 1881678662 1881684538 1881686293 1881687614 1881688554 1881690949 PROVIDER NAME ADDRESS WEST METRO ENDOSCOPY CENTER, LLC 8855 HOSPITAL DR, SUITE 102 SURGICAL EYE EXPERTS OF NEW ENGLAND, LLC 385 GROVE ST, INTERGALACTIC CENTER FOR ADVANCED CATARACT AND 10215 CORNEAL FERNWOOD SURGERY RD, SUITE 98 TERRE HAUTE SURGICAL CENTER, LLC 227 EAST MCCALLISTER DRIVE, HILLSIDE ENDOSCOPY CENTER, LLC 250 FAME AVE, SUITE 240 THE HAND AND UPPER EXTREMITY SURGERY CENTER OF 993-D GEORGIA, JOHNSON LLC FERRY ROAD, SUITE 200 BAY EYES SURGERY CENTER 411 NORTH SECTION STREET, MIDLANDS ORTHOPAEDICS SURGERY CENTER, LLC 1930 BLANDING ST, MCKINNEY SURGERY CENTER, LP 8080 SH 121, SUITE 100 SUNCOAST ENDOSCOPY OF SARASOTA 2089 HAWTHORNE ST, SUITE 100 NEW IBERIA SURGERY CENTER 2309 E MAIN ST STE 300, HUDSON VALLEY CENTER AT SAINT FRANCIS 1 WEBSTER AVE, STE 500 DOHENY ENDOSURGICAL CENTER 9090 WILSHIRE BLVD, ANMED ENTERPRISES INC - UPSTATE ENDOSCOPY CENTER 1922B INCMCCONNELL LLC SPRINGS RD, GATEWAY SURGERY CENTER, L.L.C. 841 SPRINGDALE DR, MEDICAL PLAZA ENDOSCOPY UNIT LLC 1125 N PORTER AVE, SUITE 304 DR. KEVIN E. WHITTON DPM PC 126 THREE RIVERS DR, CUMBERLAND VALLEY SURGERY CENTER LLC 1110 PROFESSIONAL CT, WEST HILLS SURGICAL CENTER LTD 7240 MEDICAL CENTER DR, POTOMAC AMBULATORY SURGERY CENTER 8503 ARLINGTON BOULEVARD, SUITE 150 LEADER SURGICAL CENTER 25 MONUMENT RD, SUITE 260 SILICON VALLEY SURGERY CENTER, LP 14601 S BASCOM AVE, SUITE 100 FLORHAM PARK ENDOSCOPY ASC LLC 195 COLUMBIA TPKE, FOUNDATION SURGERY AFFILIATE OF EL PASO LLC 125 W CASTELLANO DR, MCPEAK SURGERY CENTER LLC 108 BRAVO BLVD, ATHENS SURGERY CENTER LTD 75 HOSPITAL DR, SUITE 100 TURKS HEAD SURGERY CENTER LLC 915 OLD FERN HILL RD, BLDG B SUITE 100 SPINE AND PAIN TREATMENT MEDICAL CENTER OF SANTA 135 MARIA CARMEN INCLN, ADVANCED AMBULATORY SURGERY CENTER 1901 W LUGONIA AVE, STE 100 SMA Informatics Confidential CITY DOUGLASVILLE WORCESTER BETHESDA TERRE HAUTE HANOVER ATLANTA FAIRHOPE COLUMBIA MCKINNEY SARASOTA NEW IBERIA POUGHKEEPSIE BEVERLY HILLS ANDERSON CLINTON NORMAN ROME HAGERSTOWN WEST HILLS FAIRFAX YORK LOS GATOS FLORHAM PARK EL PASO GLASGOW ATHENS WEST CHESTER SANTA MARIA REDLANDS SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 152 ST ZIP GA MA MD IN PA GA AL SC TX FL LA NY CA SC IA OK GA MD CA VA PA CA NJ TX KY OH PA CA CA 30134 01605 20817 47802 17331 30342 36532 29201 75070 34239 70560 12601 90211 29621 52732 73071 30161 21740 91307 22031 17403 95032 07932 79912 42141 45701 19380 93458 92374 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1881692036 1881695732 1881697522 1881699106 1881701290 1881704237 1881704773 1881717627 1881721280 1881728590 1881731321 1881736734 1881765964 1881770592 1881789964 1881792596 1881793990 1881795045 1881804508 1881825495 1881839959 1881845907 1881850121 1881850386 1881858918 1881862670 1881875227 1881879559 1881882785 PROVIDER NAME ADDRESS SAINT BARNABAS OUTPATIENT CENTERS 200 S ORANGE AVE, REVISION ADVANCED SURGERY CENTER 240 W COOK RD, RIVERSIDE PARK SURGICENTER INC 2001 COLLEGE ST, CENTER FOR DAY SURGERY 1821 N WASHINGTON ST, WASATCH ENDOSCOPY CENTER LTD 1220 E 3900 S STE 1B, WATERFRONT SURGERY CENTER LLC 495 WATERFRONT DR E, SUITE 110 THE UROLOGY INSTITUTE AMBULATORY SURGERY CENTER 817 SMITH AVENUE, SHAH ASSOCIATES MD PA 24035 THREE NOTCH RD, SHAHLA N FARSAII 20629 BOLAND FARM RD, SYSTEM OPTICS INC 518 WEST AVE, DOVER SURGICENTER, LLC 100 SCULL TER, MILLENIA SURGERY CENTER LLC 4901 VINELAND RD, SUITE 150 BAY SURGERY CENTER 6633 TELEGRAPH AVENUE, SUITE B ST. GEORGE SURGICAL CENTER L.P. 676 S BLUFF ST, NEW LEXINGTON CLINIC, PSC 1221 S BROADWAY, JEDI VENTURES, LLC 3150 J ST, TRIANGLE ENDOSCOPY CENTER, LLC 249 E N.C. HIGHWAY 54, SUITE 210 ROYAL OAK MEDICAL CENTER PC 5130 COOLIDGE HWY, FAIRFIELD SURGERY CENTER, LLC 75 KINGS HIGHWAY CUTOFF, 3RD FLOOR JOHN P LYDON DPM 5620 SHIELDS DR, ENDOSCOPY CENTER OF LODI LLC 840 S FAIRMONT AVE, SUITE 1 NORTH PACIFIC DERMATOLOGY PS 1412 SW 43RD ST, STE 205 NORTHEAST GEORGIA UROLOGICAL SURGERY CENTER,660 LLC LANIER PARK DR, SUITE H CORVALLIS CLINIC PC 601 NW ELKS DRIVE, BERGAN MERCY SURGERY CENTER, LLC 7710 MERCY RD, SUITE 100 THE BUX-MONT ENDOSCOPY CENTER LP 1107 BETHLEHEM PIKE, SKIN & MOHS SURGERY CNETER, INC 3265 NE RALPH POWELL RD, JERALD N KRAMER DPM PC 215 CLAIREMONT AVE, SPARTA MEDICAL ASSOCIATES, P.A. 532 LAFAYETTE RD, SUITE 200 SMA Informatics Confidential CITY LIVINGSTON MANSFIELD JACKSONVILLE TULLAHOMA SALT LAKE CITY HOMESTEAD THOMASVILLE HOLLYWOOD GERMANTOWN TALLMADGE DOVER ORLANDO OAKLAND ST GEORGE LEXINGTON SACRAMENTO DURHAM ROYAL OAK FAIRFIELD BETHESDA LODI RENTON GAINESVILLE CORVALLIS OMAHA SELLERSVILLE LEES SUMMIT DECATUR SPARTA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 153 ST ZIP NJ OH FL TN UT PA GA MD MD OH DE FL CA UT KY CA NC MI CT MD CA WA GA OR NE PA MO GA NJ 07039 44907 32204 37388 84124 15120 31792 20636 20876 44278 19901 32811 94609 84770 40504 95816 27713 48073 06824 20817 95240 98057 30501 97330 68124 18960 64064 30030 07871 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1881928976 1891022000 1891701611 1891716049 1891717195 1891717823 1891722609 1891724936 1891726550 1891728382 1891730644 1891732202 1891742748 1891745956 1891750980 1891750998 1891754271 1891759569 1891759601 1891763157 1891766283 1891769121 1891770814 1891772349 1891772547 1891776233 1891776605 1891784955 1891788584 PROVIDER NAME ADDRESS N W EYE SURGEONS P C 1306 ROOSEVELT AVE, AMBULATORY UROLOGY SURGICAL CENTER LLC 12234 WILLIAMS RD, ESSEX ENDOSCOPY CENTER OF NJ, LLC 275 CHESTNUT ST, GEORGIA UROLOGY AMBULATORY SURGICAL CENTER LLC 2685 MILSCOTT DR, EL DORADO SURGERY CENTER LP 4745 E CAMP LOWELL DR, AMBULATORY SURGICAL CENTER, LLC 501 DOCTORS CT, EYE MDS OF PUGET SOUND PLLC 4717 S 19TH ST, STE 10 ARKLAMISS SURGERY CENTER,LLC 210 LAYTON AVE STE 10, BAY AREA HOUSTON ENDOSCOPY LP 1015 MEDICAL CENTER BLVD, SUITE 1200 MISSISSIPPI COAST ENDOSCOPY & AMBULATORY SURGERY 2406CENTER CATALPA AVE, LAKEWALK SURGERY CENTER, INC. 1420 LONDON RD, SUITE 100 VISALIA CENTER FOR AMBULATORY MEDICINE AND SURGERY 111 E NOBLE AVE, OUTPATIENT ENDOSCOPY & SURGI CENTER 28300 HARPER AVE, NORTH SUBURBAN SPINE CENTER LP 9005 GRANT ST, #300 AMBULATORY SURGICAL FACILITY OF S FLORIDA LLLP 4470 SHERIDAN ST, CHARLOTTE SURGERY CENTER LLC 2825 RANDOLPH RD, WESTERN WASHINGTON ENDOSCOPY CENTERS LLC 34503 9TH AVE S, SUITE 240 ST JOSEPH CENTER FOR OUTPATIENT SURGERY 4510 FREDERICK AVE, PUNAHELE ASSOCIATES 82 PUUHONU PLACE, STE 100 HOUMAS OUTPATIENT SURGERY CENTER 3717 HOUMA BLVD, STE 300 EASTERN SHORE SURGERY CENTER LLC 6 CAULK LN, MIDWEST ENDOSCOPY CENTER, LLC 12855 N 40 DR, SUITE 150 REGIONAL HAND CENTER OF CENTRAL CALIFORNIA, INC2139 E BEECHWOOD AVE, NORTH ANAHEIM SURGICENTER LTD 1154 N EUCLID ST, NOVAMED SURGERY CENTER OF BATON ROUGE 8748 BLUEBONNET BLVD, MINOR & JAMES MEDICAL PLLC 515 MINOR AVE, #200 TEXAS ENDOSCOPY LLC 6405 W PARKER RD, SUITE 370 PLATTSBURGH ASC LLC 450 MARGARET ST, ROCKWALL HEATH SURGERY CENTER LLP 6435 S FM 549, STE 101 SMA Informatics Confidential CITY MOUNT VERNON CUMBERLAND NEWARK DECATUR TUCSON OSHKOSH TACOMA MONROE WEBSTER PASCAGOULA DULUTH VISALIA ST CLAIR SHORES THORNTON HOLLYWOOD CHARLOTTE FEDERAL WAY SAINT JOSEPH HILO METAIRIE EASTON SAINT LOUIS FRESNO ANAHEIM BATON ROUGE SEATTLE PLANO PLATTSBURGH HEATH SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 154 ST ZIP WA MD NJ GA AZ WI WA LA TX MS MN CA MI CO FL NC WA MO HI LA MD MO CA CA LA WA TX NY TX 98273 21502 07105 30033 85712 54901 98405 71201 77598 39567 55805 93277 48081 80229 33021 28211 98003 64506 96720 70006 21601 63141 93720 92801 70810 98104 75093 12901 75032 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1891793915 1891798583 1891832523 1891858833 1891859773 1891865077 1891870986 1891875175 1891881926 1891882031 1891889945 1891930392 1891935201 1891951885 1891992889 1902020522 1902036049 1902039936 1902042658 1902052350 1902070832 1902078207 1902079775 1902095417 1902802036 1902803158 1902805278 1902807159 1902808488 PROVIDER NAME ADDRESS CITY NORTHEAST OHIO SURGERY CENTER, LLC 3755 ORANGE PLACE, SUITE 102 ORANGE VILLAGE LINCOLN SURGERY ENDOSCOPY SERVICES, LLC 1730 S 70TH ST, LINCOLN DAVID M. SCHNEIDER, MD INC. 4452 EASTGATE BLVD, 305 CINCINNATI FELLOWSHIP SPINE SURGICAL CENTER LLC 715 FELLOWSHIP RD, SUITE A MOUNT LAUREL KAISER FOUNDATION HOSPITALS 3500 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE PORTLAND SOUTH REGENCY SURGERY CENTER, LLC 16055 VENTURA BLVD, #120 ENCINO AURORA SURGERY CENTER, L.P. 73950 ALESSANDRO DR, SUITE 1 PALM DESERT HEAD AND NECK SURGICAL PARTNERS, LLC 1500 S 48TH ST, SUITE 201 LINCOLN GASTRO-SURGI CENTER OF NEW JERSEY 1132 SPRUCE DRIVE, MOUNTAINSIDE GARDEN STATE SURGICAL CENTER, LLC 28-06 BROADWAY, FAIR LAWN DIGESTIVE CARE MEDICAL CENTER 1000A LAUREL STREET, SAN CARLOS LAS VEGAS SURGERY CENTER LLC 7135 W SAHARA AVE, SUITE 101 LAS VEGAS EAST CAMPUS SURGERY CENTER LLC 5445 E 16TH ST, INDIANAPOLIS MISSISSIPPI EYE SURGERY CENTER 3434 BIENVILLE BLVD, OCEAN SPRINGS G & G INTERNATIONAL LLC 2165 MENTOR AVE, PAINESVILLE ROME SURGICAL CENTER, P.C. 211 REDMOND RD NW, ROME PHYSICIANS AMBULATORY SURGERY CENTER, LLC 3030 S GESSNER RD, SUITE 150 HOUSTON GREATER SPRINGFIELD SURGERY CENTER, LLC 100 WASON AVENUE, SPRINGFIELD CORONA OUTPATIENT SURGICENTER, LLC 1124 S MAIN ST, # 101 CORONA SURGERY CENTER, LLC 3111 W RAWSON AVE, FRANKLIN GASTRO OPERATING COMPANY LLC 865 MERRICK AVE STE 150N, WESTBURY PLAINFIELD SURGERY CENTER, LLC 24600 W 127TH ST, BUILDING C PLAINFIELD ORLANDO MILLS FL ENDOSCOPY ASC LLC 1817 N MILLS AVE, ORLANDO PERIMETER SURGICAL CENTER INC 6620 PERIMETER DR, SUITE 100B DUBLIN CATARACT & SURGICAL CENTER OF LUBBOCK LLC 5109 80TH ST, LUBBOCK CHEYENNE MEDICAL PLAZA SURGERY CENTER, LLC 2301 HOUSE AVE, #200 CHEYENNE EAST METRO ASC 8650 HUDSON BLVD N, LAKE ELMO SURGERY CENTER OF SCOTTSDALE, LLC 8962 E DESERT COVE DR, SCOTTSDALE MEMPHIS GASTROENTEROLOGY ENDOSCOPY CENTER EAST 8000 WOLF RIVER BLVD, SUITE 200 GERMANTOWN SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 155 ST ZIP OH NE OH NJ OR CA CA NE NJ NJ CA NV IN MS OH GA TX MA CA WI NY IL FL OH TX WY MN AZ TN 44122 68506 45245 08054 97227 91436 92260 68506 07092 07410 94070 89117 46218 39564 44077 30165 77063 01107 92882 53132 11590 60585 32803 43016 79424 82001 55042 85260 38138 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1902825821 1902831225 1902832405 1902834922 1902836299 1902838402 1902840986 1902841117 1902841398 1902844426 1902847635 1902848260 1902848286 1902849227 1902850506 1902850571 1902851009 1902852841 1902853195 1902858004 1902858012 1902860414 1902860679 1902861941 1902863723 1902864879 1902875438 1902875669 1902876212 PROVIDER NAME ADDRESS WORLDSTER LEE MD INC 1712 LILIHA ST, SUITE 400 ENDOSCOPY CENTER, LLC 13421 OLD MERIDIAN ST, COASTAL SURGERY CENTER, LLC 4147 SOUTHPOINT DR E, SOUTHWESTERN EYE CENTER 1055 S STAPLEY DR, MORRISTOWN SURGICAL CTR. @ MADISON AVE. LLC 111 MADISON AVE, SUITE 412 OUTPATIENT SURGERY CENTER, INC 5193 MARINER BLVD, SUITE B SOUTHWESTERN EYE CENTER 1815 N MASTICK WAY, BANNER DESERT SURGERY CENTER 1500 S DOBSON RD STE 101, MASON CITY AMBULATORY SURGERY CENTER , LLC 990 4TH ST SW, SOUTH ARLINGTON SURGICAL PROVIDERS 3025 MATLOCK RD, SUITE 100 CENTER FOR SURGICAL EXCELLENCE LLC 2107 ROSALIND AVE SW, COMMUNITY AMBULATORY CARE CENTER (CACC), LP 400 N 17TH ST, STE 300 NORTHSIDE FOOT & ANKLE OUTPATIENT SURGICAL CENTER 771 OLD NORCROSS RD, SUITE 355 EYE SURGERY CENTER 3990 N ILLINOIS ST, NOVAMED SURGERY CENTER OF DALLAS LP 17950 PRESTON RD, SUITE 75 SDM MEDICAL, INC 6311 SOUTHWEST BLVD, BEVERLY HILLS SURGERY CENTER LP 9735 WILSHIRE BLVD, SUITE 100 MIDTOWN UROLOGY SURGICAL CENTER 128 NORTH AVE NE, SUITE 200 NEW SMYRNA BEACH AMBULATORY CARE CENTER 612 PALMETTO ST, SOUTH MISSISSIPPI MAXILLOFACIAL SURGERY CENTER 1760 MEDICAL PARK DR, SUITE B TORRANCE OUTPATIENT SURGERY CENTER 22525 MAPLE AVE, STE 101 TORRANCE SURGERY CENTER 23560 CRENSHAW BLVD, 104 VISION GROUP ASC, LLC 3002 ROGERS AVE, PEACHTREE ORTHOPAEDIC SURGERY CENTER AT PIEDMONT 77 COLLIER LLC RD, SUITE 2000 OAK & MAIN SURGICENTER LLC 907 N MAIN RD, BLDG C SPOKANE SURGERY CENTER LTD 1120 N PINES ROAD, CENTRAL PARK ENDOSCOPY CENTER LLC 1600 CENTRAL DR, #300 NORTHERN UTAH ENDOSCOPY CENTER 630 E 1400 N, SUITE 100A SCAC LLC 105 BRANDT DRIVE, SUITE 101 SMA Informatics Confidential CITY ST HONOLULU HI CARMEL IN JACKSONVILLE FL MESA AZ MORRISTOWN NJ SPRING HILL FL NOGALES AZ MESA AZ MASON CITY IA ARLINGTON TX ROANOKE VA ALLENTOWN PA LAWRENCEVILLE GA SWANSEA IL DALLAS TX FORT WORTH TX BEVERLY HILLS CA ATLANTA GA NEW SMYRNA BEACHFL BILOXI MS TORRANCE CA TORRANCE CA FORT SMITH AR ATLANTA GA VINELAND NJ SPOKANE VALLEY WA BEDFORD TX LOGAN UT CRANBERRY TWP PA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 156 ZIP 96817 46032 32216 85204 07960 34609 85621 85202 50401 76015 24014 18104 30046 62226 75252 76132 90212 30308 32168 39532 90505 90505 72901 30309 08360 99206 76022 84341 16066 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1902877509 1902877715 1902882160 1902895675 1902899289 1902905607 1902932353 1902949613 1902958226 1902959190 1902960198 1902960206 1902964174 1902969439 1902971351 1902981558 1902984321 1902991979 1902994924 1912004193 1912011297 1912014721 1912018086 1912018706 1912045154 1912069832 1912080672 1912085333 1912090432 PROVIDER NAME ADDRESS CULPEPER SURGERY CENTER LLC 541 SUNSET LANE, SUITE 201 AMBULATORY SURGICAL CENTER OF MORRIS COUNTY 14 INC. 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Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 157 ST ZIP VA NJ GA NC PA NJ OH IL AZ MD OK ID CA NJ WA OR MD MD IN CA NV TX FL CA OR CA HI PA DC 22701 07927 31406 28054 17837 07011 44203 60707 85716 21401 74104 83706 95404 08225 98225 97401 20602 21701 46383 93454 89521 77478 34239 93003 97306 92024 96786 17837 20036 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1912094509 1912096785 1912097700 1912104787 1912158684 1912167842 1912174996 1912176629 1912177163 1912194465 1912199258 1912235961 1912900143 1912906157 1912909144 1912909169 1912909433 1912916214 1912930959 1912933680 1912945544 1912952144 1912963810 1912965963 1912971326 1912979717 1912982349 1912987629 1912989526 PROVIDER NAME ADDRESS APOGEE OUTPATIENT SURGERY CENTER 1238 WEST STREET, EVANSVILLE SURGERY CENTER ASSOCIATES, LLC 520 MARY ST, SUITE 130 NEW LEXINGTON CLINIC, PSC 1760 NICHOLASVILLE RD, SUITE 301 NORTH TAMPA OUTPATIENT SURGICAL FACILITY LLC 5329 PRIMROSE LAKE CIR, SURGCENTER OF BEL AIR 209 THOMAS ST, SAMUEL K SETO MD PLLC 21911 76TH AVE W, SUITE 202 PACIFIC CATARACT AND LASER INSTITUTE INC PC 1717 4TH ST S, SURGERY CENTER OF TEMPLE LLC 1909 HK DODGEN LOOP, SURGERY CENTER AT TANASBOURNE, LCC 18650 NW CORNELL ROAD, ST. 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Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 158 ST ZIP CA IN KY FL MD WA MT TX OR MO NJ CO FL MS NE NY NJ CA TX PA MT FL OH TX IN CO FL PR OH 96001 47710 40503 33647 21014 98026 59405 76502 97124 63141 07450 80112 33756 39401 68114 10016 08043 90025 77375 15122 59901 32953 45505 78229 47905 80113 33143 00680 45429 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1912992900 1912993700 1912993833 1922003052 1922005610 1922011501 1922016898 1922018951 1922022425 1922025006 1922027176 1922028265 1922033836 1922049006 1922052364 1922054410 1922055235 1922056878 1922061456 1922068295 1922068527 1922070911 1922071315 1922075167 1922075969 1922076959 1922084987 1922090844 1922093293 PROVIDER NAME ADDRESS BOISE ENDOSCOPY CENTER, LLC 2235 E GALA ST, PEMBROOKE SQUARE SURGERY CENTER, LLC 11370 PEMBROOKE SQ, SURGICENTER OF KANSAS CITY, LLC 1800 E MEYER BLVD, EAST OREGON SURGERY CENTER 1050 SOUTHGATE, STE B WILLIAM G SELF JR MD PC 8403 BRYANT ST, LOWERY A. 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Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 159 ZIP 83642 20603 64132 97801 80031 39401 71603 77024 97526 19083 92103 08234 11103 22182 79124 31520 21001 42503 29406 71603 43537 72703 16346 78258 07650 33176 02090 80909 83501 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1922098037 1922104710 1922125285 1922128792 1922141647 1922141738 1922144484 1922148733 1922160357 1922163757 1922165901 1922171461 1922178169 1922180439 1922182419 1922187103 1922193515 1922211192 1922230853 1922234855 1922237213 1922253129 1922255413 1922259555 1922262278 1922280197 1922296250 1922334101 1932104064 PROVIDER NAME ADDRESS JAMES A DESILVA 7310 MAGNOLIA AVE, OAKS SURGERY CENTER 40740 CALIFORNIA OAKS RD, HUDES ENDOSCOPY CENTER, LLC 4275 JOHNS CREEK PKWY, SUITE A LA REGIONAL SURGICAL CENTER 302 W LA VETA AVE, STE. 100 RIVER NORTH SAME DAY SURGERY LLC 1 E ERIE ST, SUITE 300 25 EAST SAME DAY SURGERY LLC 25 E WASHINGTON ST, SUITE 300 INTERVENTIONAL PAIN CENTER OF CHESTERFIELD 17300 N OUTER 40, 100 SOUTH RIVER AMBULATORY SURGERY CENTER, LLC 3168 BRAVERTON ST, SUITE 310 ARAPAHOE ENDOSCOPY CENTER 1001 SOUTHPARK DR, HANFORD SURGERY CENTER 1360 BAILEY ST, THE ROBERT ZUBOWSKI CENTER FOR COSMETIC AND RECONSTRUCTIVE 1 SEARS DR, SURGERY SANFORD CLINIC 3015 3RD AVE SE, IMPERIAL CALCASIEU MEDICAL GROUP LLP 501 DR MICHAEL DEBAKEY DR, DL-JT MANAGEMENT SERVICES, LLC 4454 N DECATUR BLVD, BOSTON SURGERY CENTER, LLC 85 1ST AVE, NORTH HILLS SURGERY CENTER 3271 N WIMBERLY DR, MAHONING VALLEY AMBULATORY SURGERY CENTER 37 MEDICAL CROSSING ROAD, VOORHEES SURGERY CENTER, LLC 2 VAN BUREN RD, CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, 95 CRYSTAL LLC RUN RD, EYE SURGERY CENTER OF GEORGIA, LLC 1100 JOHNSON FERRY RD NE, SUITE 130 ENDOSCOPY CENTER OF TOMS RIVER, INC 473 LAKEHURST RD, DHHS PHS NAIHS CHINLE COMPREHENSIVE HOSPITAL ROAD OFF HIGHWAY 191, TWIN CITIES AMBULATORY SURGERY CENTER, LP 1101 W. 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Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 160 ST ZIP CA CA GA CA IL IL MO MD CO CA NJ SD LA NV MA AR PA NJ NY GA NJ AZ MO WA GA GA GA WI TX 92504 92562 30024 92866 60611 60602 63005 21037 80120 93230 07652 57401 70601 89130 02451 72703 18252 08043 10941 30342 08755 86503 63028 98057 30030 31602 30720 54311 79416 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1932104577 1932106119 1932106358 1932132065 1932136389 1932153459 1932153509 1932155470 1932162195 1932164852 1932183266 1932190170 1932204971 1932207669 1932212511 1932214624 1932230141 1932237195 1932241148 1932252228 1932258415 1932265469 1932268299 1932274743 1932275054 1932281979 1932285871 1932298718 1932305968 PROVIDER NAME ADDRESS CENTRAL AUSTIN AMBULATORY SURGERY CENTER L.P.900 W 38TH ST, STE 200 PADDOCK PARK SURGERY CENTER L L C 3320 SW 34TH CIR, THE CENTER FOR AMBULATORY SURGICAL TREATMENT, 1090 LP GLENDON AVENUE, AMBULATORY SURGICAL CENTER FO AIKEN 4211 TROLLEY LINE RD, THE SURGERY CENTER AT 900 N MICHIGAN, LLC 60 E DELAWARE PL, FOUR SEASONS ENDOSCOPY CENTER INC 100 KNOWLSON AVE, NOVAMED SURGERY CENTER OF WHITTIER LLC 15141 WHITTIER BLVD, SUITE 130 SUSQUEHANNA SURGERY CENTER INC 6850 LOWS ROAD, LUBBOCK SURGERY CENTER LTD 2301 QUAKER AVE, MAY STREET SURGI CENTER, LLC 205 MAY ST, STE 103 SINGLE DAY SURGERY CENTER LLC 6950 W DESERT INN RD, SUITE 100 OCALA EYE SURGERY CENTER INC 3330 SW 33RD RD, GREENVILLE ENDOSCOPY CENTER 317 SAINT FRANCIS DR, SUITE 150 EYE SURGICAL CENTER OF MISSISSIPPI 1053 RIVER OAKS DR, PALESTINE LASER & SURGERY CENTER 501B E. KOLSTAD ST., LA PEER SURGERY CENTER, LLC 8920 WILSHIRE BLVD, SUITE 101 TAMPA BAY HAND CENTER-AMBULATORY SURGERY DIV., 13905 INC.BRUCE B DOWNS BLVD, SUITE B NORTHSIDE SURGERY CENTER, INC 5505 PEACHTREE DUNWOODY RD NE, SUITE 415 SPECIALTY SURGICAL CENTER LLC 380 LAFAYETTE ROAD, TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA 250 KING OF PRUSSIA RD, GLENDALE ENDOSCOPY CENTER, LLC 824 N GLENDALE AVE, URBAN FOOT CARE SURGICAL CENTER LLC 3915 W CAPITOL DR, #A PATRICK A CONARRO MD 64 MOUNTAIN DR, COASTAL CAROLINA CENTER OF UROLOGY AND SURGERY, 822 LLC FARRAR DRIVE, WILSHIRE SURGICENTER, INC. 8641 WILSHIRE BLVD, BELMONT EYE CLINIC, INC. 3020 BELMONT AVE, FREMONT SURGERY CENTER ASSOCIATES 2299 MOWRY AVENUE, 1ST FLOOR OUTPATIENT SERVICES EAST 52 MEDICAL PARK DRIVE EAST, SUITE 401 NORTH COAST MEDICAL CTR INC 4704 HOEN AVENUE, SMA Informatics Confidential CITY AUSTIN OCALA LOS ANGELES AIKEN CHICAGO BEAVER FALLS WHITTIER BLOOMSBURG LUBBOCK EDISON LAS VEGAS OCALA GREENVILLE FLOWOOD PALESTINE BEVERLY HILLS TAMPA ATLANTA SPARTA RADNOR GLENDALE MILWAUKEE DAHLONEGA CONWAY BEVERLY HILLS YOUNGSTOWN FREMONT BIRMINGHAM SANTA ROSA SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 161 ST ZIP TX FL CA SC IL PA CA PA TX NJ NV FL SC MS TX CA FL GA NJ PA CA WI GA SC CA OH CA AL CA 78705 34474 90024 29801 60611 15010 90603 17815 79410 08837 89117 34474 29601 39232 75801 90211 33613 30342 07871 19087 91206 53216 30533 29526 90211 44505 94538 35235 95405 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1932309341 1932321882 1932390234 1932438553 1942202221 1942206677 1942207196 1942207279 1942230024 1942231204 1942231493 1942233259 1942233457 1942239751 1942242441 1942245725 1942254123 1942255401 1942259130 1942260534 1942261573 1942261599 1942264619 1942265780 1942265939 1942267893 1942272851 1942276498 1942278692 PROVIDER NAME ADDRESS CITY HERNDON SURGERY CENTER, INC. 1843 E FIR AVE, SUTE 104 FRESNO DIGESTIVE HEALTH CENTER OF HUNTINGTON 195 E MAIN STREET, HUNTINGTON RENO ORTHOPEADIC SURGERY CENTER 350 W 6TH ST, 3RD FL RENO MIDDLESEX CENTER FOR ADVANCED ORTHOPEDIC SURGERY, 540 SAYBROOK LLC RD, SUITE 180 MIDDLETOWN NORTHLAKE ENDOSCOPY, LLC 16061 DOCTORS BLVD, SUITE A HAMMOND PODIATRIC SURGI CENTER INC 64 EXECUTIVE DR, NORWALK GRAND VALLEY SURGICAL CENTER, LLC 710 WELLINGTON AVE STE 21, GRAND JUNCTION CARROLL HOSPITAL CENTER, INC. 291 STONER AVE, WESTMINSTER LUTHERVILLE ENDOSCOPY 1300 BELLONA AVE STE A, SUITE 300 LUTHERVILLE CENTER FOR ADVANCED SURGERY AND PAIN MANAGEMENT, 3613 ROUTE LLC 33, NEPTUNE TAYLOR STATION SURGICAL CENTER LTD 275 TAYLOR STATION RD, COLUMBUS SILVER SPRING SURGERY CENTER, LLC 1111 SPRING ST, SUITE 130 SILVER SPRING BOULDER SPINE CENTER, LLC 300 EXEMPLA CIR # 130, LAFAYETTE POSADA AMBULATORY SURGERY CENTER, LP 322 POSADA LN STE B, TEMPLETON ADVANCED EYE SURGERY CENTER 3500 US HIGHWAY 1, VERO BEACH SIERRA PACIFIC SURGICAL CENTER LP 1630 E HERNDON AVE, SUITE 100 FRESNO TAYLOR AND OSTERMAN PA 8630 FENTON STREET, SUITE 1 SILVER SPRING BRAZORIA COUNTY SURGERY CENTER, LLC 2760 BRAZOS PARKWAY, ANGLETON ST ANTHONYS PHYSICIANS SURGERY CENTER LLC 705 16TH ST N, ST PETERSBURG AKER KASTEN EYE CENTER 1445 NW BOCA RATON BLVD, AKER KASTEN EYE CENTER BOCA RATON WYOMING SURGICAL CENTER LLC 4140 CENTENNIAL HILLS BLVD, #C CASPER SDOSC, LP 770 WASHINGTON ST, SUITE 101 SAN DIEGO METROPOLITAN MEDICAL PARTNERS LLC 5530 WISCONSIN AVE, SUITE 1530 CHEVY CHASE SURGICARE OF WICHITA, LTD 810 N LORRAINE ST, WICHITA INLAND SURGERY CENTER LP 1620 LAUREL AVE, REDLANDS GASTROENTEROLOGY DIAGNOSTICS OF NORTHERN NEW 205JERSEY, BROWERTOWN PA RD, SUITE 102 WEST PATERSON INDEPENDENCE ASC LLC 9601 NE 79TH ST, KANSAS CITY BARTLESVILLE SURGERY CENTER 230 SE HOWARD AVE, BARTLESVILLE FOLSOM OUTPATIENT SURGERY CENTER, LP 1651 CREEKSIDE DRIVE, SUITE 100 FOLSOM SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 162 ST ZIP CA NY NV CT LA OH CO MD MD NJ OH MD CO CA FL CA MD TX FL FL WY CA MD KS CA NJ MO OK CA 93720 11743 89503 06457 70403 44857 81501 21157 21093 07753 43213 20910 80026 93465 32960 93720 20910 77515 33705 33064 82609 92103 20815 67214 92373 07424 64158 74006 95630 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1942280870 1942282256 1942285168 1942291786 1942292073 1942292545 1942299441 1942306816 1942317672 1942318498 1942334065 1942335468 1942335971 1942339049 1942353115 1942363098 1942364716 1942366737 1942367636 1942370408 1942383963 1942388327 1942388418 1942393475 1942397104 1942397344 1942399399 1942403969 1942405253 PROVIDER NAME ADDRESS CITY ST LORAIN ASC LP 3600 KOLBE RD, SUITE 019 LORAIN OH UROLOGY SPECIALTY AND SURGERY CENTER OF SOUTHWEST 234 DRLOUISIANA MICHAEL DEBAKEY DR, LAKE CHARLES LA PEACHTREE SPINE & PAIN PHYSICIANS ASC, LLC 5555 PEACHTREE DUNWOODY RD NE, SUITE G-99 ATLANTA GA PAIN CLINIC OF AIMR 2911 PIEDMONT RD NE, STE F ATLANTA GA SOUTHERN OKLAHOMA SURGICAL CENTER INC 2412 NORTH COMMERCE, ARDMORE OK CAPITAL REGION AMBULATORY SURGERY CENTER 1367 WASHINGTON AVE, SUITE 401 ALBANY NY PAIN CARE OF NORTH TEXAS, LLC 1111 RAINTREE CIR, SUITE 190 ALLEN TX OMEGA SURGERY CENTER LLC 11606 NICHOLAS ST, SUITE 200 OMAHA NE TRI-CITIES OUTPATIENT SURGERY, INC. 1009 N STATE OF FRANKLIN ACCESS ROAD, SUITE BJOHNSON CITY TN DIGESTIVE DISEASE CENTER-TN 2136 E DESERT INN RD, SUITE B LAS VEGAS NV ATLANTIC SURGICENTER, LLC 9104 MARKET ST, WILMINGTON NC INNOVATIVE PAIN TREATMENT SURGERY CENTER OF TEMECULA, 27412 ENTERPRISE INC. CIR W, SUITE 100 TEMECULA CA PALOS SURGICENTER, LLC 7340 W COLLEGE DR, PALOS HEIGHTS IL NORTHWEST FOOT & ANKLE ASSOCIATES 21229 84TH AVE W, EDMONDS WA SOUTHERN CRESCENT PLASTIC SURGERY ASC 919 EAGLES LANDING PKWY, STOCKBRIDGE GA BETH ISRAEL AMBULATORY CARE SERVICES CORP 3121 KINGS HIGHWAY, BETH ISRAEL AMBULATORYBROOKLYN CARE SERVICES CORPNY PLASTIC SURGICAL ASSOCIATES OF JOHNSTOWN INC 415 NAPOLEON PL, JOHNSTOWN PA KOCH EYE SURGICENTER, INC. 444 QUAKER LN, WARWICK RI THE CENTER FOR ORTHOPAEDIC SURGERY, LLC 134 PROFESSIONAL PARK DR, ROCK HILL SC PERIMETER OUTPATIENT SURGICAL ASSOCIATES 5673 PEACHTREE DUNWOODY RD NE, SUITE 800 ATLANTA GA SURGICAL INSTITUTE OF GARDEN GROVE, LLC. 12828 HARBOR BLVD STE 210, GARDEN GROVE CA LRG HEALTHCARE 724 N MAIN ST, LACONIA NH INTERMED PA 84 MARGINAL WAY, SUITE 900 PORTLAND ME NORTH OAKLAND ASC LLC 1305 NORTH OAKLAND BLVD, WATERFORD MI PREMIER ENDOSCOPY, LLC 164 BRIGHTON RD, CLIFTON NJ GENESIS ASC PARTNERS, LLC 3400 E. JOLLY ROAD, LANSING MI CARROLL COUNTY ENDOSCOPY CENTER 29 UNION STREET, WOLFEBORO FALLS NH PETER N ARROWSMITH MD PC 210 25TH AVE N, 9TH FLOOR NASHVILLE TN BERKELEY HEIGHTS EYE GROUP, PA 369 SPRINGFIELD AVE, BERKELEY HEIGHTS NJ SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 163 ZIP 44053 70601 30342 30305 73401 12206 75013 68154 37604 89109 28411 92590 60463 98026 30281 11234 15901 02886 29732 30342 92840 03246 04101 48327 07012 48910 03896 37203 07922 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1942414750 1942437504 1942454095 1942455449 1942458062 1942458070 1942462064 1942469226 1942471404 1942472931 1942477914 1942483433 1942484605 1942485305 1942498167 1942532825 1942533005 1952302895 1952310211 1952312399 1952314619 1952319378 1952321416 1952323081 1952325227 1952328825 1952329757 1952331092 1952333882 PROVIDER NAME ADDRESS HAMILTON EYE INSTITUTE SURGERY CENTER, L.P. 930 MADISON AVE, 3RD FLOOR EPIC SURGERY CENTERS, LLC 11261 NALL AVE, SUITE 200 PACAYA BAY SURGERY CENTER LLC 13981 MCGREGOR BLVD, SUITE 102 HEA GRAMERCY SURGERY CENTER, PLLC 2855 GRAMERCY ST, SUITE 100 CENTER FOR PAIN MANAGEMENT, ASC LLC 1150 PROFESIONAL COURT, GADSDEN ENDOSCOPY, LLC 820 GOODYEAR AVENUE, JONATHAN MCCONE JR. MD PC 8109 HINSON FARM ROAD, #515 SURGERY CENTER FOR PAIN INTERVENTION 23521 PASEO DE VALENCIA, SUITE 204 ADVANCED PAIN SURGICAL CENTER INC 7230 MEDICAL CENTER DR, SUITE 500 SURGCENTER OF GLEN BURNIE 308 HOSPITAL DR, STE 102 SCRIPPS HEALTH 15004 INNOVATION DR, PREMIER PHYSICIANS CENTERS, INC 25200 CENTER RIDGE RD, SUITE 3100 DELOZIER SURGERY CENTER LLC 209 23RD AVE N, 9106 PHILADELPHIA ROAD AMBULATORY SURGERY CENTER 9106 PHILADELPHIA LLC RD, SUITE 306 THE MEMPHIS TN ENDOSCOPY ASC LLC 80 HUMPHREYS CTR, SUITE 200 SUMMIT MEDICAL GROUP 340 THOMAS MORE PKWY, SUITE 160 B PRAIRIE SURGICENTER ASSOCIATES 2020 W ILES AVE, SAN LEANDRO SURGERY CENTER 15035 E 14TH STREET, WASHINGTON INSTITUTE ORTHOPEDIC CENTER 12707 120TH AVE NE, SUITE 205 ZITELLI & BRODLAND PC 575 COAL VALLEY ROAD, SUITE 360 PRESIDENTIAL EYE CENTER PA 1501 PRESIDENTIAL WAY, SUITE #11 SURGICAL CENTERS OF GA PC 3556 RIVERSIDE DR, SIOUXLAND UROLOGY CENTER 455 N SIOUX POINT RD, DOCTORS OUTPATIENT SURGERY CENTER 1005 CROSSPOINTE DR # 2, SLINGSBY & WRIGHT EYE SURGERY & LASER CENTER 240 MINNESOTA ST, AMERICAN SURGICAL CENTER OF WEST ORANGE LLC 61 D MAIN ST, MIDSOTA SURGICAL SUITES PA 3701 12TH STREET N, STE 101 MEMORIAL HERMANN SURGERY CENTER SUGAR LAND,17510 LLP, DBA WEST MEMORIAL GRAND PARKWAY, HERMANNSUITE 200 MARYLAND CENTER FOR DIGESTIVE HEALTH 820 BESTGATE RD, SUITE 1A SMA Informatics Confidential CITY ST ZIP MEMPHIS LEAWOOD FORT MYERS HOUSTON HAGERSTOWN GADSDEN ALEXANDRIA LAGUNA HILLS WEST HILLS GLEN BURNIE SAN DIEGO WESTLAKE NASHVILLE BALTIMORE MEMPHIS CRESTVIEW HILLS SPRINGFIELD SAN LEANDRO KIRKLAND CLAIRTON WEST PALM BEACH MACON DAKOTA DUNES NAPLES RAPID CITY WEST ORANGE ST CLOUD SUGAR LAND ANNAPOLIS TN KS FL TX MD AL VA CA CA MD CA OH TN MD TN KY IL CA WA PA FL GA SD FL SD NJ MN TX MD 38103 66211 33919 77025 21740 35903 22306 92653 91307 21061 92128 44145 37203 21237 38120 41017 62704 94578 98034 15025 33401 31210 57049 34110 57701 07052 56303 77479 21401 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 164 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1952336521 1952340036 1952342453 1952343204 1952346090 1952347981 1952348013 1952353187 1952354326 1952355422 1952355851 1952360059 1952363368 1952364002 1952364499 1952366874 1952368482 1952373086 1952396467 1952398141 1952404550 1952408783 1952412413 1952412439 1952414609 1952432122 1952437865 1952443046 1952464844 PROVIDER NAME ADDRESS CASC AQUISITION INC 110 PEPPER HILL WAY, PROLIANCE SURGEONS, INC., P.S. 12333 NE 130TH LN, SUITE 420 SAGINAW VALLEY ENDOSCOPY CENTER 4200 FASHION SQUARE BLVD, BEACH DISTRICT SURGERY CENTER 514 N PROSPECT AVE, SUITE 100 SSC - SEDONA SURGERY CENTER 95 SOLDIERS PASS RD, SUITE A-2 MARSHFIELD CLINIC 1000 N OAK AVE, DAKOTA SURGERY & LASER CENTER LLC 430 E SWEET AVE, MCKENZIE SURGERY CENTER LP 940 COUNTRY CLUB RD, CENTER OF SURGICAL EXCELLENCE VENICE FLORIDA LLC8421 POINTE LOOP DR, BENEFIT SURGERY MEDICAL CENTER 9674 ARCHIBALD AVE, SUITE 125 ADVANCED DIAGNOSTIC AND SURGICAL CENTER 1668 S. GARFIELD AVE. #100, MAINE EYE CARE ASSOCIATES 325A KENNEDY MEMORIAL DR, GOLDEN TRIANGLE SURGICENTER LP 25405 HANCOCK AVE, SUITE 103 SURGICARE OF CENTRAL FLORIDA LTD 900 GRIFFIN RD, DENTON REGIONAL AMBULATORY SURGERY CENTER, L.P. 3316 COLORADO BLVD, HONOLULU SURGERY CENTER LP 500 ALA MOANA BLVD, TOWER 1 SUITE 1B SAN DIEGO ENDOSCOPY CENTER GENERAL PARTNERSHIP 4033 3RD AVE, SUITE 106 CRYSTAL RIVER ENDOSCOPY ASC LP 6412 W GULF TO LAKE HWY, PCN SURGICAL SUITES, LLC 6400 DUTCHMANS PKWY, SUITE 60 AUSTIN EYE CLINIC ASSOCIATION 11901 JOLLYVILLE RD, OUTPATIENT PLASTIC SURGERY CENTER INC 1620 S CONGRESS AVENUE, SUITE 101 SHADYSIDE SURGI-CENTER, INC. 5727 CENTRE AVE, SOUTH GEORGIA SURGERY CENTER, LLC 306 ISABELLA STREET, WAXAHACHIE SURGERY PAVILION 1324 BROWN ST, SUITE 600 ADDISON SURGERY CENTER 191 ADDISON AVE, SARBJIT SINGH HUNDAL 39263 MISSION BLVD, PLAZA SURGICAL CENTER, INC. 168 N BRENT ST STE 403B, SIERRA VISTA MEDICAL PAVILION AMBULATORY SURGERY 77 CASA SUITESTREET, STE 203 EDWARDSVILLE AMBULATORY SURGERY CENTER LLC 12 GINGER CREEK PKWY, SMA Informatics Confidential CITY ST AIKEN SC KIRKLAND WA SAGINAW MI REDONDO BEACH CA SEDONA AZ MARSHFIELD WI BISMARCK ND EUGENE OR VENICE FL RANCHO CUCAMONGA CA ALHAMBRA CA WATERVILLE ME MURRIETA CA LAKELAND FL DENTON TX HONOLULU HI SAN DIEGO CA CRYSTAL RIVER FL LOUISVILLE KY AUSTIN TX PALM SPRINGS FL PITTSBURGH PA WAYCROSS GA WAXAHACHIE TX TWIN FALLS ID FREMONT CA VENTURA CA SAN LUIS OBISPO CA GLEN CARBON IL SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 165 ZIP 29801 98034 48603 90277 86336 54449 58504 97401 34293 91730 91801 04901 92562 33805 76210 96813 92103 34429 40205 78759 33461 15206 31501 75165 83301 94539 93003 93405 62034 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1952466716 1952478885 1952493124 1952496846 1952516395 1952518029 1952535502 1952540825 1952543217 1952571028 1952623936 1962400044 1962402503 1962405803 1962405894 1962407726 1962413187 1962423228 1962423574 1962428268 1962431197 1962435990 1962436337 1962447185 1962453175 1962455428 1962455964 1962456889 1962459610 PROVIDER NAME ADDRESS EL CAMINO SURGERY CENTER 2480 GRANT RD, MANAHAWKIN SURGERY CENTER, LLC 798 RT 539, BUILDING A, SUITE 1 MAXIMUM SURGERY MEDICAL CENTER, INC. 11760 CENTRAL AVE, SUITE 204 COSMETIC SURGI CENTER OF MARYLAND 8322 BELLONA AVENUE, SUITE 300 ROBERTSON SURGICAL CENTER 150 N ROBERTSON BLVD # 110, RALEIGH NC ENDOSCOPY ASC LLC 1505 SW CARY PARKWAY, SUITE 202 PLATEAU SURGERY CENTER 79 FAIRFIELD BOULEVARD, ROME ORTHOPAEDIC CLINIC ASC, INC. 100 THREE RIVERS DR NE, SEATTLE SPINE INSTITUTE,PLLC 550 16TH AVE, SUITE 404 CORNERSTONE AMBULATORY SURGERY CENTER LLC 3 CORNERSTONE DR, SUITE 704 FELLOWSHIP SURGICAL CENTER LLC 715 FELLOWSHIP RD, SUITE A COA ASC OF FRANKLIN COUNTY LLC 5965 E BROAD ST, SUITE 460 NORTH KITSAP AMBULATORY SURGERY CENTER, INC. 20669 BOND RD NE, SUITE 200 MID RIVERS AMBULATORY SURGERY CENTER LP 5401 VETERANS MEMORIAL PKWY, STE 100 WILKES BARRE ASC., LP 545 N RIVER ST, EDWARD S ORMAN DPM PA 5009 HONEYGO CENTER DR, SUITE 213 BEAUMONT MACOMB TOWNSHIP ASC, LLC 15979 HALL ROAD, THE GYNECOLOGY CENTER, LLC 925 BISHOP WALSH ROAD, STE # 8 FULLERTON SURGICAL CENTER L P 2240 N HARBOR BLVD, SUITE 100 CHRISTUS SANTA ROSA PASC-SAN ANTONIO LLC 423 TREELINE PARK, SUITE 202 SHAWNEE MISSION SURGERY CENTER LLC 9301 W 74TH ST, SANTE FE BUILDING, SUITE 300 NORTHERN MONMOUTH REGIONAL SURGERY CENTER,195 LLCUS HIGHWAY 9, FLOOR 2 CPGI ENDOSCOPY CENTER, LLC 90 MEDICAL PARK DRIVE, UNION HILLS SURGERY CENTER 18301 N 79TH AVE STE E150, THE SURGERY CENTER OF ATHENS, LLC. 105 N MEADOWS DR, VALLEY EYE INSTITUTE ASC 1118 FAIRINGTON DRIVE, CYPRESS SURGERY CENTER LLC 9300 E 29TH ST N, SUITE 100 NORTHWEST TUCSON SURGERY CENTER LP 6130 N LA CHOLLA BLVD, CENTRAL TEXAS DAY SURGERY CENTER, LLP 1817 SW H K DODGEN LOOP, SMA Informatics Confidential CITY ST ZIP MOUNTAIN VIEW LITTLE EGG HARBOR CHINO TOWSON BEVERLY HILLS CARY CROSSVILLE ROME SEATTLE LANGHORNE MOUNT LAUREL COLUMBUS POULSBO ST PETERS WILKES BARRE PERRY HALL MACOMB CUMBERLAND FULLERTON SAN ANTONIO SHAWNEE MISSION MANALAPAN LEWISBURG GLENDALE ATHENS SIDNEY WICHITA TUCSON TEMPLE CA NJ CA MD CA NC TN GA WA PA NJ OH WA MO PA MD MI MD CA TX KS NJ PA AZ TN OH KS AZ TX 94040 08087 91710 21204 90211 27511 38558 30161 98122 19047 08054 43213 98370 63376 18702 21128 48044 21502 92835 78209 66204 07726 17837 85308 37303 45365 67226 85741 76502 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 166 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1962463133 1962463950 1962466847 1962467951 1962468967 1962469403 1962469544 1962472845 1962477539 1962478115 1962499079 1962499913 1962500454 1962504803 1962505842 1962506618 1962513788 1962531988 1962538959 1962543710 1962552232 1962557124 1962565242 1962568543 1962568725 1962580266 1962588160 1962605451 1962609560 PROVIDER NAME ADDRESS CITY ST SURGICAL CENTER OF MICHIGAN , LLC. 4600 INVESTMENT DR, STE 270 TROY MI CENTRAL UTAH SURGICAL CENTER L.L.C. 1067 N 500 W, PROVO UT GULF COAST ENDOSCOPY CENTER OF VENICE LLC 1220 E VENICE AVE, VENICE FL GADSDEN SURGERY CENTER LP 418 S 5TH ST, GADSDEN AL MARION SURGERY CENTER LTD 806 NORTH TREAS, MARION IL SURGICAL CENTER OF ELIZABETHTOWN LIMITED PARTNERSHIP 108 FINANCIAL PL, ELIZABETHTOWN KY NORTHERN ROCKIES SURGERY CENTER LP 940 N 30TH ST, BILLINGS MT CENTRO CIRUGIA AMBULATORIA Y LASER MEDICO INCMEDICAL OPHTHALMIC PLAZA, 1875 CARR 2 SUITE BAYAMON 303 PR CASPER WY ENDOSCOPY ASC LLC 1441 WILKINS CIR, CASPER WY SOUTH ARK EAR NOSE & THROAT CLINIC P A 4310 S MULBERRY ST, PINE BLUFF AR MAYO CLINIC JACKSONVILLE 4500 SAN PABLO RD S, JACKSONVILLE FL EVERETT CLINIC INC 3025 RUCKER AVE, EVERETT WA BOLSA OUTPATIENT SURGERY 10362 BOLSA AVE STE 100, WESTMINSTER CA HIGHLAND PARK PLASTIC SURGERY CENTER 6110 SHERRY LN, DALLAS TX CONSULTANTS IN GASTROENTEROLOGY INC 5900 LANDERBROOK DR, SUITE 195 MAYFIELD HTS OH THE POLYCLINIC 1145 BROADWAY, SEATTLE WA SURGERY CENTER OF DECATUR LP 1122 14TH AVENUE SE, DECATUR AL PIEDMONT SURGERY CENTER 4660 RIVERSIDE PARK BLVD, MACON GA FIRST SURGICAL WOODLANDS, LP 111 VISION PARK BLVD, SUITE 200 CONROE TX LASSEN SURGERY CENTER 103 FAIR DR, SUSANVILLE CA LAKELAND SURGICAL & DIAGNOSTIC CENTER LLP 818 GRIFFIN RD, LAKELAND FL AFFILIATED AMBULATORY SURGERY, PC 182 SOUTH ST, SUITE 1 MORRISTOWN NJ PHILADELPHIA HEALTH & EDUCATION CORPORATION 219 N BROAD ST, 5TH FLOOR PHILADELPHIA PA ENDOSCOPY CENTER OF OCEAN COUNTY 477 LAKEHURST RD, TOMS RIVER NJ BRECKENRIDGE SURGERY CENTER 3201 E PRESIDENT GEORGE BUSH HWY, SUITE 100 RICHARDSON TX NOVAMED SURGERY CENTER OF WARRENSBURG LLC 506 BURKARTH RD, SUITE B WARRENSBURG MO THE EYE SURGERY CENTER OF OAK RIDGE LLC 90 VERMONT AVE, OAK RIDGE TN ULTIMATE HEALTH SERVICES, INC. 5170 US RT 60 EAST, HUNTINGTON WV FRONT RANGE ENDOSCOPY CENTERS, LLC 719 N CASCADE AVE, COLORADO SPRINGS CO SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 167 ZIP 48098 84604 34285 35901 62959 42701 59101 00959 82601 71603 32224 98201 92683 75225 44124 98122 35601 31210 77384 96130 33805 07960 19107 08755 75082 64093 37830 25705 80903 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1962626523 1962644906 1962651497 1962661884 1962663559 1962668319 1962670687 1962671263 1962671487 1962676304 1962681130 1962685834 1962688358 1962695122 1972503233 1972508174 1972522985 1972526242 1972526895 1972528537 1972528800 1972532539 1972535292 1972539088 1972541415 1972545291 1972548626 1972549491 1972556900 PROVIDER NAME ADDRESS CITY ST CALLOWAY CREEK SURGERY CENTER LP 4300 CAGLE ROAD, SUITE 100 NORTH RICHLAND HILLS TX JOURNAL SQUARE SURGICAL CENTER LLC 550 NEWARK AVE, UNITS 501, 408 AND 103 JERSEY CITY NJ CCALA CORP 400 AVE FD ROOSEVELT, SUITE #301 SAN JUAN PR ACD-SA, LTD. 7220 LOUIS PASTEUR, SUITE 115 SAN ANTONIO TX GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER,411 LLC WESTWOOD DR, WAUSAU WI BOULDER MEDICAL CENTER, PC 2750 BROADWAY ST, BOULDER CO INLAND SURGERY CENTER INC 4049 ALMOND ST, SUITE 102 RIVERSIDE CA SURGICAL PARTNERS OF LAS CRUCES, LLC 1205 S TELSHOR BLVD, LAS CRUCES NM HYDE PARK SURGERY CENTER, LP 4611 GUADALUPE ST, AUSTIN TX 32ND STREET SURGERY CENTER, LLC 1531 E 32ND ST, JOPLIN MO BAYLOR SURGICARE AT PLANO, LLC 1701 OHIO DR, PLANO TX ABQ HEALTH PARTNERS ENDOSCOPY CENTER, LLC 5400 GIBSON BLVD SE, FLOOR 2; ELEVATOR C ALBUQUERQUE NM PSCH, LLC 40 FRANKLIN RD, HATTIESBURG MS NORTH ORANGE COUNTY SURGERY CENTER, LLC 1741 W ROMNEYA DR, SUITE F ANAHEIM CA LA JOLLA ORTHOPAEDIC SURGERY CENTER 4120 LA JOLLA VILLAGE DR, LA JOLLA CA VILLAGE SURGICENTER, LIMITED PARTNERSHIP 5473 VILLAGE COMMON DR, STE 100 ERIE PA MIDDLESEX ENDOSCOPY CENTER LLC 410 SAYBROOK RD, SUITE 200 MIDDLETOWN CT SURGICARE OF CENTRAL JERSEY 40 STIRLING RD, SUITE 205 WATCHUNG NJ YAKIMA GASTROENTEROLOGY ASSOCIATES, PC 3909 CREEKSIDE LOOP, SUITE 130 YAKIMA WA SOUTH MAIN SURGERY CENTER 754 S MAIN ST, SUITE 3 ST GEORGE UT BRISTOL SPINE CENTER, LLC 320 BRISTOL WEST BLVD, SUITE 1A BRISTOL TN WILTON SURGERY CENTER, LLC 195 DANBURY RD, WHITLOCK BUILDING, 1ST FLOOR WILTON CT CATARACT AND LASER SURGERY CENTER 5 TYLER CT, CARLISLE PA LAGUNA HILLS AMBULATORY SURGERY, LP 24331 EL TORO RD, SUITE 150 LAGUNA WOODS CA OCEAN ENDOSURGERY CENTER LLC 129 ROUTE 37 W, FIRST FLOOR TOMS RIVER NJ SURGERY CENTER OF FT PIERCE LTD 1707 S 25TH ST, FORT PIERCE FL PHYSICIANS SURGICAL CENTER, LLC 311 W LINCOLN ST, STE. 300 BELLEVILLE IL UNION CITY ASC LLC 1109 REELFOOT AVE, SUITE C UNION CITY TN GLEN RIDGE SURGI CENTER 230 SHERMAN AVE, GLEN RIDGE NJ SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 168 ZIP 76180 07306 00918 78229 54401 80304 92501 88011 78751 64804 75093 87108 39402 92801 92037 16506 06457 07069 98902 84770 37620 06897 17015 92637 08755 34947 62220 38261 07028 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1972565745 1972568830 1972570117 1972570414 1972572964 1972574200 1972576957 1972577161 1972578029 1972578367 1972578771 1972599793 1972600765 1972607489 1972613545 1972668317 1972675668 1972678449 1972683050 1972692754 1972694487 1972694982 1972711471 1972711612 1972758183 1972773448 1972774180 1972778579 1982620522 PROVIDER NAME PROLIANCE SURGEONS, INC., P.S. FLORENCE SURGERY CENTER LP METHODIST MEDICAL CENTER ASC LP THE HEADACHE AND PAIN CENTER PA CENTRAL ILLINOIS SURGERY CENTER, LLC ARKANSAS ENDOSCOPY CENTER, P.A. KENNETH G. AMEND, M.D., INC. TAMPA FL ENDOSCOPY ASC LLC NAPLES DAY SURGERY LLC YUMA AZ ENDOSCOPY ASC LLC SUN CITY AZ ENDOSCOPY ASC LLC CUMBERLAND SURGERY CTR DRMC INC. GARDNER SURGERY CENTER INC PALM BEACH SURGERY CENTER LLC SCRIPPS MERCY AMBULATORY SURGERY CENTER, LP TEXAS REGIONAL EYE CENTER ASC LLC PGC ENDOSCOPY CENTER, INC HUGHES CENTER FOR AESTHETIC MEDICINE PACIFIC COAST SURGICAL CTR #7 436 BEVERLY HILLS, LLC RALEIGH NC ENDOSCOPY ASC LLC NOVI SURGERY CENTER LLC BALTIMORE- HARFORD SURGICAL CENTERS, LLC DIGESTIVE DISEASE ASSOCIATES ENDOSCOPY SUITE CLAREMORE INDIAN HOSPITAL GROUP HEALTH COOPERATIVE G A ENDOSCOPY CENTER, LLC BRENTWOOD SURGERY CENTER, LLC SMA Informatics Confidential ADDRESS 3801 5TH ST SE, SUITE 210 103 HELTON CT, 4411 MEDICAL DR, 8101 W 135TH ST, SUITE 200 304 W HAY ST, SUITE 114 9501 LILE DR, SUITE 100 5939 COLERAIN AVE, 4809 N ARMENIA AVE, SUITE 100 11161 HEALTH PARK BLVD, 1030 W 24TH ST, SUITE 1 13203 N 103RD AVE, SUITE C3 200 CUMBERLAND PKWY, 2230 LYNN RD, SUITE 105 3101 KILPATRICK BLVD, 1157 S STATE ROAD 7, 550 WASHINGTON ST, SUITE 101 3811 SAGEBRIAR DR, 700 COTTMAN AVE, SUITE 201 1765 SPRINGDALE RD, SUITE B2 1519 GARCES HWY, SUITE 101 436 N BEDFORD DR, SUITE 102 8300 HEALTH PARK, SUITE 210 25500 MEADOWBROOK ROAD, 615 W MACPHAIL RD, SUITE 207 229 MONTOWESE ST, 101 SOUTH MOORE AVENUE, 11511 NE 10TH ST, 1429 N MOUNT AUBURN RD, 2400 BALFOUR RD, SUITE 320 CITY PUYALLUP FLORENCE SAN ANTONIO OVERLAND PARK DECATUR LITTLE ROCK CINCINNATI TAMPA NAPLES YUMA SUN CITY MECHANICSBURG THOUSAND OAKS MONROE WELLINGTON SAN DIEGO BRYAN PHILADELPHIA CHERRY HILL DELANO BEVERLY HILLS RALEIGH NOVI BEL AIR BRANFORD CLAREMORE BELLEVUE CAPE GIRARDEAU BRENTWOOD SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 169 ST ZIP WA AL TX KS IL AR OH FL FL AZ AZ PA CA LA FL CA TX PA NJ CA CA NC MI MD CT OK WA MO CA 98374 35630 78229 66223 62526 72205 45239 33603 34110 85364 85351 17055 91360 71201 33414 92103 77802 19111 08003 93215 90210 27615 48375 21014 06405 74017 98004 63701 94513 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1982626974 1982637492 1982641064 1982641890 1982644761 1982662771 1982667499 1982671525 1982672283 1982674065 1982674867 1982675039 1982676227 1982676771 1982677191 1982680492 1982696894 1982716106 1982718524 1982743340 1982744231 1982745568 1982783270 1982788071 1982788220 1982793709 1982802203 1982810131 1982821740 PROVIDER NAME ADDRESS PHYSICIANS EYE SURGERY CENTER, INC 3930 HOYT AVE, TOMOKA SURGERY CENTER, LLC 345 CLYDE MORRIS BLVD, SUITE 300 PIONEER VALLEY SURGICENTER LLC 3550 MAIN ST, STE 103 SUMMIT MEDICAL GROUP, PA 1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP NORTHWEST NEUROSPINE INSTITUTE, LLC 74B CENTENNIAL LOOP, SUITE 200 DENNIS D SHEPARD MD INC 1418 E MAIN ST, STE 110 CLEAR LAKE SURGICARE, LTD 502 MEDICAL CENTER BLVD, MONROE COMMUNITY HEALTH SERVICES 750 STEWART RD, ROSEVILLE SURGERY CENTER, LP 1420 EAST ROSEVILLE PARKWAY, SUITE 100 HEMET HEALTHCARE SURGERY, INC. 301 N SAN JACINTO ST, STE B MUNSTER SAME DAY SURGERY 761 45TH AVE, SUITE 116 ST. JOHN'S OUTPATIENT SURGERY CENTER, LP 1700 NORTH ROSE AVENUE, SUITE 100 PALMETTO ASC LP 2140 W 68TH ST, SUITE 102 SHREVEPORT ENDOSCOPY CENTER, A MEDICAL CORPORATION 3217 MABEL ST, LAS VEGAS EAST OPHTHALMOLOGY ASC LLC 3575 PECOS MCLEOD, ROCKLAND SURGICAL PROJECT, LLC 500 N FRANKLIN TPKE, AFFILIATED AMBULATORY SURGERY CENTER LLC 650 SHAWAN FALLS DR, SPINE TEAM TEXAS ASC LP 290 MIRON DR, GASTROINTESTINAL SPECIALISTS OF CLARKSVILLE, PC 280 WARFIELD BLVD, VIRGINIA MASON MEDICAL CENTER 33501 1ST WAY S, SOUTHLAND ENDOSCOPY CENTER 949 CALHOUN PL, SUITE B NORTHWEST SURGERY CENTER 123 W FRANCIS AVE, DERMATOLOGY SURGERY CENTER 15 HOSPITAL CENTER BLVD, STE 2 ORTHOPAEDIC SURGERY CENTER OF CLEARWATER 402 JEFFORDS ST, CASCADE REGIONAL EYE CENTER INC PS 903 MEDICAL CENTER DR, GASTROENTEROLOGY ASSOCIATES OF FAIRFIELD PC 425 POST RD, BEAUMONT WEST BLOOMFIELD ASC, LLC 6900 ORCHARD LAKE RD, SUITE LL100 ENDOSCOPY CENTER AT PORTER LLC 2535 S DOWING ST, SUITE 320 BALTIMORE PODIATRY GROUP 5205 EAST DR, SMA Informatics Confidential CITY ST ZIP EVERETT ORMOND BEACH SPRINGFIELD BERKELEY HEIGHTS EUGENE SANTA MARIA WEBSTER MONROE ROSEVILLE HEMET MUNSTER OXNARD HIALEAH SHREVEPORT LAS VEGAS RAMSEY DUBLIN SOUTHLAKE CLARKSVILLE FEDERAL WAY HEMET SPOKANE HILTON HEAD CLEARWATER ARLINGTON FAIRFIELD WEST BLOOMFIELD DENVER ARBUTUS WA FL MA NJ OR CA TX MI CA CA IN CA FL LA NV NJ OH TX TN WA CA WA SC FL WA CT MI CO MD 98201 32174 01107 07922 97401 93454 77598 48162 95661 92543 46321 93030 33016 71103 89121 07446 43017 76092 37043 98003 92543 99205 29926 33756 98223 06824 48322 80210 21227 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 170 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1982845186 1982853271 1982863791 1982871935 1982873352 1982880274 1982880829 1982887048 1982924080 1992018790 1992037352 1992700090 1992700132 1992701049 1992702443 1992706840 1992706899 1992707855 1992708929 1992709851 1992713010 1992713176 1992728810 1992734016 1992735286 1992738751 1992740674 1992740740 1992741300 PROVIDER NAME ADDRESS PALO ALTO MEDICAL FOUNDATION FOR HEALTHCARE, 701 RESEARCH E EL CAMINO & EDUCATION REAL, WESTERN WASHINGTON ENDOSCOPY CENTERS 11216 SUNRISE BLVD E, SUITE 201, BLDG 3 CHICKASAW NATION DIVISION OF HEALTH 1001 N COUNTRY CLUB RD, NORTHERN VIRGINIA SURGERY CENTER LLC 3620JOSEPH SIEWICK DRIVE, BAHAMAS SURGICAL CENTER 2400 BAHAMAS DRIVE, BURLINGTON COUNTY ENDOSCOPY CENTER LLC 140 MOUNT HOLLY BY PASS, UNIT 5 THE SURGERY CENTER OF NEWPORT COAST, LLC 17 CORPORATE PLAZA DR, SUITE 120 HOLLAND SC LLC 12087 FELCH STREET, COASTAL ENDOSCOPY CENTER, LLC 175 GUNNING RIVER RD, REVISION ADVANCED SURGERY CENTER 1080 POLARIS PKWY, BAYLOR SURGICARE AT MANSFIELD, LLC 280 REGENCY PKWY, TAMPA BAY SPECIALTY SURGERY CENTER 6500 66TH ST, WOLF EYE ASSOCIATES, P.A. 249 MAIN ST, NORTHWEST FLORIDA SURGERY CENTER 767 AIRPORT RD, EASTSIDE ENDOSCOPY CENTER PLLC 1135 116TH AVE NE, SUITE 570 AMBULATORY SURGERY CENTER OF BURLEY, LLC 1344 HILAND AVE, SUITE E SURGERY CENTER OF PEORIA, LLC 13260 N 94TH DR, SUITE 200 VESC INC 550 MEMORIAL CIR, SUITE G NOVAMED MANAGEMENT SERVICES LLC 3200 DOWNWOOD CIR NW, STE 200 NOVAMED SURGERY CENTER OF CHICAGO-NORTHSHORE, 3034LLC W PETERSON AVE, NORTHFIELD SURGICAL CENTER LLC 741 NORTHFIELD AVE, SUITE 102 DESERT RIDGE OUTPATIENT SURGERY, LLC 20940 N. TATUM BLVD, SUITE 100 SPECIALISTS IN UROLOGY SURGERY CENTER NORTH, LLC 28930 TRAILS EDGE BLVD, SUITE 100 SONTERRA ENDOSCOPY CENTER LTD 225 E SONTERRA BLVD, SUITE 101 CASTLEMAN SURGERY CENTER, P.C. 14050 DIX TOLEDO RD, PSI SURGERY CENTER, LLC. 9985 DAYTON LEBANON PIKE, 2047 PALM BEACH LAKES PARTNERS LLC 2047 PALM BEACH LAKES BLVD, GASTROENTEROLOGY & SURGERY CENTER OF AR 8908 KANIS RD, LINCOLN ENDOSCOPY CENTER, LLC 4545 R ST, SUITE 101 SMA Informatics Confidential CITY ST ZIP MOUNTAIN VIEW PUYALLUP ADA FAIRFAX BAKERSFIELD LUMBERTON NEWPORT BEACH HOLLAND BARNEGAT COLUMBUS MANSFIELD PINELLAS PARK LEWISTON PANAMA CITY BELLEVUE BURLEY PEORIA ORMOND BEACH ATLANTA CHICAGO WEST ORANGE PHOENIX BONITA SPRINGS SAN ANTONIO SOUTHGATE CENTERVILLE WEST PALM BEACH LITTLE ROCK LINCOLN CA WA OK VA CA NJ CA MI NJ OH TX FL ME FL WA ID AZ FL GA IL NJ AZ FL TX MI OH FL AR NE 94040 98374 74820 22033 93309 08048 92660 49424 08005 43240 76063 33781 04240 32405 98004 83318 85381 32174 30327 60659 07052 85050 34134 78258 48195 45458 33409 72205 68503 SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 171 www.smainformatics.com Resources from SMA CY 2012 ASC Provider List NPI 1992752224 1992752794 1992759930 1992763932 1992765986 1992776306 1992777643 1992784821 1992785232 1992788772 1992794580 1992795454 1992796742 1992845283 1992851075 1992875454 1992882153 1992895163 1992896310 1992901847 1992904734 1992941462 1992970230 1992992994 1992999775 PROVIDER NAME ADDRESS SPRINGFIELD CLINIC LLP 1025 S 6TH ST, SIERRA AMBULATORY SURGERY CENTER, A MEDICAL CORPORATION 2828 W MAIN ST, IDAHO SURGICENTER INC 1157 CALL PLACE, HEALTHEAST SURGERY CENTER-MAPLEWOOD, LLC 1655 BEAM AVE, WESTERN WASHINGTON ENDOSCOPY CENTERS LLC 3209 SOUTH 23RD ST, 2ND FLOOR GWINNETT CENTER FOR OUTPATIENT SURGERY LP 2131 FOUNTAIN DR, CAPE CORAL FT MYERS ENDOSCOPY ASC LLC 7152 COCA SABAL LN, EYE SURGERY CENTER OF CHESTER COUNTY, LLC 140 JOHN ROBERT THOMAS DR, NORTHWEST FLORIDA ASC LP 204B E 19TH ST, EAST JEFFERSON AMBULATORY SURGERY CENTER 4320 HOUMA BLVD, 5TH FLOOR VALLEY MEDICAL PLAZA AMBULATORY 1680 E HERNDON AVE, SUITE 101 DR. AARON M FAY MD 243 CHARLES ST, SAN ANTONIO ENDOSCOPY, LP 8550 DATAPOINT DRIVE, SUITE 100 CHESAPEAKE AMBULATORY SURGERY CENTER, LLC 8028 RITCHIE HWY, SUITE 100-102 SOUTH CAROLINA HEALTH SERVICES 40 OKATIE CENTER BLVD, SUITE 125 ELGIN GASTROENTEROLOGY ENDOSCOPY CENTER 745 FLETCHER DR, KNIGHTSBRIDGE SURGERY CENTER, LTD 4845 KNIGHTSBRIDGE BLVD, SUITE 110 RIVERTOWN SURGICENTER P.A. 6188 OXON HILL RD, SUITE 100 JERRY N BLACK SURGICAL SUITE 10 AMALIA DRIVE, PHYSICIANS SURGICAL CENTER OF FT. WORTH, LLP 2001 COOPER STREET, LAUREL FOOT AND ANKLE AMBULATORY SURGICAL CENTER 14440 CHERRY LANE CT STE 104, NORTHWEST ENDOSCOPY CENTER, LLC 488 KENNESAW AVE NW, SUITE 100 PARK CENTER FOR PROCEDURES LLC 8255 COLLEGE PARKWAY, SUMMIT AMBULATORY SURGICAL CENTER, LLC 6820 HOSPITAL DR, SUITE 200 SPINE SURGERY CENTER OF EUGENE, LLC 1410 OAK ST, SUITE 300 CITY SPRINGFIELD VISALIA POCATELLO MAPLEWOOD TACOMA SNELLVILLE FORT MYERS EXTON PANAMA CITY METAIRIE FRESNO BOSTON SAN ANTONIO PASADENA OKATIE ELGIN COLUMBUS OXON HILL BUCKHANNON FORT WORTH LAUREL MARIETTA FORT MYERS ROSEDALE EUGENE ST ZIP IL CA ID MN WA GA FL PA FL LA CA MA TX MD SC IL OH MD WV TX MD GA FL MD OR 62703 93291 83201 55109 98405 30078 33908 19341 32405 70006 93720 02114 78229 21122 29909 60123 43214 20745 26201 76104 20707 30060 33919 21237 97401 Note: The list is based on CMS OPPS/ASC CY2012 Final Rule ASC Supplier Specific Files 11/1/2011. SMA Informatics Confidential SMA Informatics 800 E. Leigh St. Suite 206-14 Richmond, VA 23112 (Tel.)804-344-8111 Page 172 www.smainformatics.com