NPIMap

Organization Active NPI

West Central Surgical Center-Bayside

  • Ambulatory Surgical Clinic/Center
  • Oregon, OH
National Provider Identifier
1104214261
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1086AS Issued in OH
Legal business name
WEST CENTRAL SURGICAL CENTER-BAYSIDE
Practice address
846 S Coy Rd
Oregon, OH 43616-3452
Phone
(419) 693-9459
Fax
(419) 693-9429
NPI assigned
Dec 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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

Authorized official

Name
William G James Jr., MD
Title
Authorized Offical
Phone
(419) 843-1370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1086AS OH Primary

Addresses

Primary practice location

846 S Coy Rd
Oregon, OH 43616-3452

Mailing address

7071 W Central Ave
Toledo, OH 43617-2700
Phone (419) 843-1370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150707003235 OH Part B Supplier - Ambulatory Surgical Center 2062724818 Receives reassigned benefits from 1 practitioner
Practice locations: Oregon, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
West Central Surgical Center BaysideCCN 36C0001295
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
West Central Surgical Center - Bayside2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the 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.

NPI Registry JSON

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

{
    "created_epoch": "1419379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1104214261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7071 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436172700",
            "telephone_number": "419-843-1370",
            "fax_number": "419-843-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 S COY RD",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163452",
            "telephone_number": "419-693-9459",
            "fax_number": "419-693-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL SURGICAL CENTER-BAYSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-24",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "419-843-1370",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "1086AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.