LIPPY SURGERY CENTER LLC NPI 1558451583

NPI Information

  • NPI: 1558451583
  • Provider Name: LIPPY SURGERY CENTER LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 36D1076346
  • Address: 3893 E MARKET ST
    WARREN, OH
    ZIP 44484
  • Phone: (330) 856-3075

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NPI Details

LIPPY SURGERY CENTER LLC is an ambulatory surgical clinic center in Warren, OH. LIPPY SURGERY CENTER LLC NPI is 1558451583. The provider is registered as an organization entity type.

The provider's business location address is:

3893 E MARKET ST
WARREN, OH
ZIP 44484-706
Phone: (330) 856-3075
Fax: (330) 856-1187

The provider's authorized official is Kelly Marie Theodosopoulos .
The authorized official title is Chief Clinical Officer and has the following contact phone number (330) 260-7810.

The CLIA number assigned to this NPI record is 36D1076346 - 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.

  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)

The enumeration date for this NPI number is 10/13/2006 and was last updated on 2/27/2024.

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 SurgicalYes

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: 3/30/2025

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