OHIO SURGERY CENTER LLC NPI 1063514107

NPI Information

NPI: 1063514107
Provider Name: OHIO SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D0945471

Address:
930 BETHEL RD
COLUMBUS, OH
ZIP 43214
Phone: (614) 451-0500
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OHIO SURGERY CENTER LLC is an ambulatory surgical clinic center in Columbus, OH. OHIO SURGERY CENTER LLC NPI is 1063514107. The provider is registered as an organization entity type.

The provider's business location address is:

930 BETHEL RD
COLUMBUS, OH
ZIP 43214-906
Phone: (614) 451-0500
Fax: (614) 451-2844

The provider's authorized official is Michael D Martyn .
The authorized official title is Chariman Of The Board and has the following contact phone number (614) 451-0500.

The CLIA number assigned to this NPI record is 36D0945471 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 12/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	386	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3611061	MEDICARE ID-TYPE UNSPECIFIED	OHIO
2	OH2070646	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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