ROCKSIDE ROAD SURGERY CENTER LLC NPI 1174709786

NPI Information

NPI: 1174709786
Provider Name: ROCKSIDE ROAD SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
6701 ROCKSIDE RD
SUITE 101
INDEPENDENCE, OH
ZIP 44131
Phone: (216) 524-0120
Get Directions

ROCKSIDE ROAD SURGERY CENTER, LLC is an ambulatory surgical clinic center in Independence, OH. ROCKSIDE ROAD SURGERY CENTER, LLC NPI is 1174709786. The provider is registered as an organization entity type.

The provider's business location address is:

6701 ROCKSIDE RD
SUITE 101
INDEPENDENCE, OH
ZIP 44131-358
Phone: (216) 524-0120
Fax: (216) 524-0455

The provider's authorized official is Mark Janack .
The authorized official title is Operations Manager and has the following contact phone number (216) 447-6070.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 1/14/2008.

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	0722AS	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	2457149	MEDICAID	OHIO
2	IN3611821	MEDICARE PIN	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »