Provider Demographics
NPI:1730140237
Name:LINDEN OAKS SURGERY CENTER INC
Entity Type:Organization
Organization Name:LINDEN OAKS SURGERY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-267-8250
Mailing Address - Street 1:10 HAGEN DRIVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625
Mailing Address - Country:US
Mailing Address - Phone:585-267-8200
Mailing Address - Fax:585-267-8256
Practice Address - Street 1:10 HAGEN DRIVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625
Practice Address - Country:US
Practice Address - Phone:585-267-8200
Practice Address - Fax:585-267-8256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2701232R261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FA0727OtherPREFERRED ONE
P0140059LHOtherCHILD HEALTH PLUS
P0140059LHOtherMONROE PLAN
P0140059LHOtherEXCELLUS HEALTH PLAN
P0140059LHOtherBLUE POINT
P00060627OtherMEDICARE RAILROAD
7632063OtherAETNA
TX7632063OtherAETNA EL PASO
P0140059LHOtherBCBS ROCHESTER
7632063OtherAETNA EPO US HEALTHCARE
BA0101OtherUPSTATE MEDICARE
P0140059LHOtherFAMILY HEALTH PLUS
NY01980574Medicaid
P0140059LHOtherBLUE CHOICE
BA0101OtherUPSTATE MEDICARE