VINCERA SURGERY CENTER, LLC
NPI 1366886913
Clinic/Center - Ambulatory Surgical in Philadelphia, PA

NPI Status: Active since April 25, 2013

Contact Information

1200 CONSTITUTION AVE
SUITE 100
PHILADELPHIA, PA
ZIP 19112
Phone: (215) 755-2340
Fax: (215) 755-2026

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 39D2059394
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-21-2027

About VINCERA SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Vincera Surgery Center, Llc, a provider established in Philadelphia, Pennsylvania operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1366886913 assigned on April 2013. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. William Clark Meyers Md (Medical Director)

NPI
1366886913
Provider Name
VINCERA SURGERY CENTER, LLC
Entity Type
Organization
Location Address
1200 CONSTITUTION AVE SUITE 100 PHILADELPHIA, PA 19112
Location Phone
(215) 755-2340
Location Fax
(215) 755-2026
Mailing Address
1200 CONSTITUTION AVE SUITE 100 PHILADELPHIA, PA 19112
Mailing Phone
(215) 755-2340
Mailing Fax
(215) 755-2026
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2013
Last Update Date
03-13-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. WILLIAM CLARK MEYERS MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(215) 334-1274

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2059394
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 22, 2025
Certificate Expiration Date
May 21, 2027
Laboratory Director
DR. WILLIAM C. MEYERS MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vincera Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366886913
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261681292
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 6 + 8 + 1 + 2 + 9 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1366886913 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235571605 CARA MARZANO
Individual
Physical Therapist1200 CONSTITUTION AVE SUITE 210
PHILADELPHIA, PA 19112
(267) 592-3190
1699186940 ROBYN MCCROSSIN PT
Individual
Physical Therapist1200 CONSTITUTION AVE SUITE 210
PHILADELPHIA, PA 19112
(267) 592-3190
1629228689DR. ALEXANDER EDWARD POOR M.D.
Individual
Surgery1200 CONSTITUTION AVE VINCERA INSTITUTE
PHILADELPHIA, PA 19112
(215) 840-0537
1396084497INDEPENDENCE IMAGING, LLC
Organization
Clinic/Center (Radiology)1200 CONSTITUTION AVE SUITE 120
PHILADELPHIA, PA 19112
(215) 755-1076
1518366517CORE PERFORMANCE PHYSICIANS, LLC
Organization
Surgery1200 CONSTITUTION AVE SUITE 110
PHILADELPHIA, PA 19112
(267) 592-3200
1780065847MS. BROOKE HAVENS ATC, OTC
Individual
Specialist/Technologist (Athletic Trainer)1200 CONSTITUTION AVE SUITE 110
PHILADELPHIA, PA 19112
(609) 204-0627
1558730010 ALEX SKACEL DPT
Individual
Physical Therapist1200 CONSTITUTION AVE
PHILADELPHIA, PA 19112
(267) 592-3190
1912371048CORE PERFORMANCE PHYSICIANS
Organization
Surgery1200 CONSTITUTION AVE SUITE 110
PHILADELPHIA, PA 19112
(267) 592-3200
1215130422MRS. MARIA LYNN GAMBONE DPT
Individual
Physical Therapist1200 CONSTITUTION AVE
PHILADELPHIA, PA 19112
(267) 592-3190
1346680675VINCERA REHAB, LLC
Organization
Clinic/Center (Physical Therapy)1200 CONSTITUTION AVE SUITE 210
PHILADELPHIA, PA 19112
(267) 592-3200
1538716378 RACHEL STEPHANIE HOFFMAN
Individual
Physical Therapist1200 CONSTITUTION AVE
PHILADELPHIA, PA 19112
(267) 592-3190
1437196482 WILLIAM CLARK MEYERS MD
Individual
Surgery1200 CONSTITUTION AVE SUITE 110
PHILADELPHIA, PA 19112
(267) 592-3200
1609591577 BRYAN ENG PT, DPT
Individual
Physical Therapist1200 CONSTITUTION AVE
PHILADELPHIA, PA 19112
(267) 592-3190
1457075236 EMILY ASHER PT, DPT
Individual
Physical Therapist1200 CONSTITUTION AVE
PHILADELPHIA, PA 19112
(267) 592-3190
1831836162CONCIERGE SPINE AND SPORTS MEDICINE, PC
Organization
Clinic/Center1200 CONSTITUTION AVE
PHILADELPHIA, PA 19112
(267) 551-4200
1497516447 GREGORY CHARLES MASTURZO
Individual
Physical Therapist1200 CONSTITUTION AVE
PHILADELPHIA, PA 19112
(267) 592-3200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366886913, enumerated in the NPI registry as an "organization" on April 25, 2013

The provider is located at 1200 Constitution Ave Suite 100 Philadelphia, Pa 19112 and the phone number is (215) 755-2340

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider's CLIA number is 39D2059394 for a "ambulatory surgery center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 25, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.