Organization Active NPI

Neo Surgical Associates Inc

  • Surgery Physician
  • Alliance, OH
National Provider Identifier
1124049101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34-00-6856 Issued in OH
Legal business name
NEO SURGICAL ASSOCIATES INC
Practice address
270 E State St
Suite 120
Alliance, OH 44601-4957
Phone
(330) 823-8452
Fax
(330) 823-8491
NPI assigned
Jul 22, 2006
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
Janet Carr
Title
Office Manager
Phone
(330) 823-8452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 34-00-6856 OH Primary

Addresses

Primary practice location

270 E State St
Suite 120
Alliance, OH 44601-4957

Mailing address

270 E State St
Suite 120
Alliance, OH 44601-4957
Phone (330) 823-8452

Other identifiers 1

IdentifierTypeStateIssuer
2084640MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124049101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E STATE ST",
            "address_2": "SUITE 120",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014957",
            "telephone_number": "330-823-8452",
            "fax_number": "330-823-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E STATE ST",
            "address_2": "SUITE 120",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014957",
            "telephone_number": "330-823-8452",
            "fax_number": "330-823-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEO SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-823-8452"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "34-00-6856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2084640",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, 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.