Surgery Center of Canfield, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0734AS Issued in OH

Legal business name

SURGERY CENTER OF CANFIELD, LLC

Practice address

4147 Westford Dr
Canfield, OH 44406-8086

Phone

(330) 702-1489

Fax

(330) 702-1545

NPI assigned

Oct 17, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jenetha D Moran

Title

Authorized Official

Phone

(972) 763-3893

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Mercy Health Youngstown LLC

  • Clinical Medical Laboratory
  • Youngstown, OH
  • NPI 1831600295

  Member Of

  NPD member
• Baylor University Medical Center

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1447250253

  Member Of

  NPD member
• VHS San Antonio Partners LLC

  • Psychiatric Hospital Unit
  • San Antonio, TX
  • NPI 1487633509

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1043209653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 WESTFORD DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068086",
            "telephone_number": "330-702-1489",
            "fax_number": "330-702-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 WESTFORD DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068086",
            "telephone_number": "330-702-1489",
            "fax_number": "330-702-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF CANFIELD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "JENETHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-763-3893"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0734AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2522434",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "SU3611911",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas James Styka, D.D.S.
• Suburban Radiology Limi
• Nicole Lee Sudia, INDEPENDENT PROVIDER
• Debra Rae Suffolk, M.A., CCC-SLP
• Logan N Sullivan, RD LDN
• Robin Suzelis
• Nicole Elizabeth Svasta
• Sarayna D Svetlak
• Gaye Sympson, DNP,CNM
• Jessica N Szenborn, MS, LPCC

• Ambulatory Surgical Clinic/Center in Canfield, OH
• Providers in Canfield, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.