OHIO SURGERY CENTER LLC NPI 1063514107

NPI Information

  • NPI: 1063514107
  • Provider Name: OHIO SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 36D0945471
  • Address: 930 BETHEL RD
    COLUMBUS, OH
    ZIP 43214
  • Phone: (614) 451-0500

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NPI Details

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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of nasal air passage under lining tissue (HCPCS:30140)
  • Removal of nasal sinus tissue using an endoscope (HCPCS:31267)
  • Reshaping of nasal cartilage (HCPCS:30520)
  • Incision of nasal sinus using an endoscope (HCPCS:31256)
  • Exploration of nasal sinus using an endoscope (HCPCS:31276)
  • Removal of nasal sinus using an endoscope (HCPCS:31255)
  • Removal of tissue from sphenoid sinus using an endoscope (HCPCS:31259)
  • Incision of eardrum with placement of eardrum tube under general anesthesia (HCPCS:69436)

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
1261QA1903XClinic/CenterAmbulatory Surgical386OHIOYes

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
13611061MEDICARE ID-TYPE UNSPECIFIEDOHIO
2OH2070646MEDICAIDOHIO

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: 11/21/2025

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