Wilmington Surgical Services LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WILMINGTON SURGICAL SERVICES LLC

Practice address

675 W Main St
Wilmington, OH 45177

Phone

(937) 383-3277

Fax

(937) 283-9146

NPI assigned

May 27, 2010

Organization subpart

No

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

Authorized official

Name

Chia Hung ChenNPI 1871534420

Title

Sole Member

Phone

(937) 383-3277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053630137. Details of each certification follow.

• CCN 36C0001269 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 36C0001269

Legal name

WILMINGTON SURGICAL SERVICES LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 22, 2012

Last certification

Apr 17, 2019

Ownership / control type

Proprietary

Facility address

675 West Main Street
Wilmington, OH 45177

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chia-Hung Joseph Chen, MD

  • Ophthalmology Physician
  • Wilmington, OH
  • NPI 1871534420
  NPD (past) Authorized official

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484438400000",
    "number": "1053630137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772124",
            "telephone_number": "937-383-3277",
            "fax_number": "937-283-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "45177",
            "telephone_number": "937-383-3277",
            "fax_number": "937-283-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2017-01-15",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHIA HUNG",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "937-383-3277"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilmington Medical Associates, Inc.
• Wilmington Nursing & Rehabilitation Center LLC
• Wilmington Physicians Group LLC
• Wilmington Surgery Center
• Wilmington Surgical Associates, Inc.
• Charles Wilson
• Megan Winegar, PT
• Roger Winemiller, CPRS
• Betty Withers, MA,CCC-SLP
• Andrea Rose Wnuck

• Ambulatory Surgical Clinic/Center in Wilmington, OH
• Providers in Wilmington, 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 Jan 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.