Active NPI
Dublin Surgical Center, LLC
- Ambulatory Surgical Clinic/Center
- Dublin, OH
National Provider Identifier
1093710873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0731AS
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311256934004 | Other | OH | TRICARE FOR LIFE |
| 2474719 | Medicaid | OH | |
| 000000317382 | Other | OH | ANTHEM ASC PROVIDER NUMBE |
| P00119531 | Other | ND | MEDICARE RAILROAD ASC |
Other names 1
- Columbus Surgical Center
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Orthopaedic Surgery Physician
- Palm Springs, CA
- NPI 1871595660
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
- Dublin SNF Healthcare LLC (Dublin Post Acute)
- Dublin Springs Physician Group, LLC
- Dublin Springs, LLC
- Dublin Springs, LLC (Dublin Springs)
- Dublin Surgery Center LLC
- Dublin Urgent Care Inc (America's Urgent Care of Dublin)
- Angelia Dubois
- Jazmine Monique Dubose
- John Edmond Duckworth, DMD, M.MED.SC
- April Duerr
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.