Provider Demographics
NPI:1619036381
Name:WILMINGTON AMBULATORY SURGICAL CENTER, LLC
Entity Type:Organization
Organization Name:WILMINGTON AMBULATORY SURGICAL CENTER, LLC
Other - Org Name:AMERICAN SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:KEMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ERKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-266-9166
Mailing Address - Street 1:161 BECKWOODS DRIVE
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3833
Mailing Address - Country:US
Mailing Address - Phone:302-266-9166
Mailing Address - Fax:866-319-6725
Practice Address - Street 1:900 FOULK RD STE 100
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3155
Practice Address - Country:US
Practice Address - Phone:302-777-4800
Practice Address - Fax:302-777-2111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RG0100X, 207V00000X, 207X00000X, 207Y00000X, 2081P2900X, 208600000X, 208800000X
DE2000101490261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Multi-Specialty
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEA00017Medicare PIN