Surgicenter of Mansfield, LTD.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0469AS Issued in OH

Legal business name

SURGICENTER OF MANSFIELD, LTD.

Practice address

1030 Cricket LN
Mansfield, OH 44906-4104

Phone

(419) 774-9410

Fax

(419) 774-1072

NPI assigned

Oct 25, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Linda S. Efaw

Title

Business Manager

Phone

(419) 774-9410

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093705774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 CRICKET LN",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064104",
            "telephone_number": "419-774-9410",
            "fax_number": "419-774-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 CRICKET LN",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064104",
            "telephone_number": "419-774-9410",
            "fax_number": "419-774-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICENTER OF MANSFIELD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EFAW",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "419-774-9410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0469AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2090697",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Ann Summers, RN
• Sunrise Medical Group Inc
• Elaine Surber
• Taya Surber
• Surgical Neurology of North Central Ohio, Inc
• Andrea Suto
• Cristine Sutter, OCCUPATIONAL THERAPI
• Timothy Sutton, MD, MPA, MA, CAS
• Abram Swanger
• Cheryl Elizabeth Swanger, COTA/L

• Ambulatory Surgical Clinic/Center in Mansfield, OH
• Providers in Mansfield, 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 Aug 22, 2020; 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.