NPIMap

Organization Active NPI

Northeast Surgical Associates of Ohio Wound Speciality Services LTD

  • Nurse Practitioner
  • Independence, OH
National Provider Identifier
1073767315
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NORTHEAST SURGICAL ASSOCIATES OF OHIO WOUND SPECIALITY SERVICES LTD
Practice address
6100 Rockside Woods Blvd N
Suite 351
Independence, OH 44131-2366
Phone
(216) 643-2780
Fax
(216) 524-0111
NPI assigned
Nov 13, 2008
Last updated
Mar 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Theresa Avsec
Title
Practice Administrator
Phone
(216) 643-2780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

6100 Rockside Woods Blvd N
Suite 351
Independence, OH 44131-2366

Mailing address

6100 Rockside Woods Blvd N
Suite 351
Independence, OH 44131-2366
Phone (216) 643-2780

National Provider Directory

National Provider Directory

Locations

73841 Pleasant Grove Rd
#1
Adena, OH 43901
Phone (740) 546-3013

9076 Cumberland Rd SW
Bowerston, OH 44695
Phone (740) 269-4000

125 E Broad St
Elyria, OH 44035
Phone (440) 328-3460

3131 Smith Rd
Fairlawn, OH 44333
Phone (330) 666-1183

3363 Ragged Ridge Rd
Frankfort, OH 45628
Phone (740) 998-2948

935 Rosewood Dr
Galion, OH 44833
Phone (419) 468-7544

840 Sherman St
Geneva, OH 44041
Phone (440) 415-0502

401 N Broadway St
Green Springs, OH 44836
Phone (419) 639-2626

750 Chestnut St
Greenville, OH 45331
Phone (937) 547-7689

600 Joe E Brown Ave
Holgate, OH 43527
Phone (419) 238-0715

6100 Rockside Woods Blvd N
Ste 351
Independence, OH 44131
Phone (216) 524-0111

1290 Fairchild Ave
Kent, OH 44240
Phone (330) 678-4912

825 State Route 61
Marengo, OH 43334
Phone (419) 253-0144

9901 Johnnycake Ridge Rd
Mentor, OH 44060
Phone (440) 357-7900

8180 W State Route 163
#388
Oak Harbor, OH 43449
Phone (419) 898-2851

6707 Powers Blvd
Parma, OH 44129
Phone (216) 663-9849

2511 Bentley Dr
#I
Salem, OH 44460
Phone (330) 337-9503

2958 Canfield Rd
Youngstown, OH 44511
Phone (330) 792-5511

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1073767315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD N",
            "address_2": "SUITE 351",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312366",
            "telephone_number": "216-643-2780",
            "fax_number": "216-524-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD N",
            "address_2": "SUITE 351",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312366",
            "telephone_number": "216-643-2780",
            "fax_number": "216-524-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SURGICAL ASSOCIATES OF OHIO WOUND SPECIALITY SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "AVSEC",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "216-643-2780"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.