Organization Active NPI

Dublin Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Dublin, OH
National Provider Identifier
1093710873
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0731AS Issued in OH
Legal business name
DUBLIN SURGICAL CENTER, LLC
Practice address
5005 Parkcenter Ave
Dublin, OH 43017-3582
Phone
(614) 932-9548
Fax
(614) 932-9549
NPI assigned
Jun 17, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Teri Purr
Title
Facility Administrator
Phone
(614) 932-9548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0731AS OH Primary

Addresses

Primary practice location

5005 Parkcenter Ave
Dublin, OH 43017-3582

Mailing address

5005 Parkcenter Ave
Dublin, OH 43017-3582
Phone (614) 932-9548

Other identifiers 4

IdentifierTypeStateIssuer
311256934004OtherOHTRICARE FOR LIFE
2474719MedicaidOH
000000317382OtherOHANTHEM ASC PROVIDER NUMBE
P00119531OtherNDMEDICARE RAILROAD ASC

Other names 1

  • Columbus Surgical Center Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093710873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 PARKCENTER AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173582",
            "telephone_number": "614-932-9548",
            "fax_number": "614-932-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PARKCENTER AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173582",
            "telephone_number": "614-932-9548",
            "fax_number": "614-932-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBLIN SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PURR",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "614-932-9548",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0731AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE FOR LIFE",
            "identifier": "311256934004",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2474719",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ASC PROVIDER NUMBE",
            "identifier": "000000317382",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD ASC",
            "identifier": "P00119531",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbus Surgical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dublin, OH

Sources for this page

  • 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.