Surgicenter LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0086A5 Issued in OH

Legal business name

SURGICENTER LTD

Practice address

1651 West Main Street
Newark, OH 43055-1345

Phone

(740) 522-5029

Fax

(740) 522-6766

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Shahin Shahinfar, MD

Title

Medical Director Owner

Phone

(740) 522-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bloomberg Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Surgicenter LTDCCN 36C0001022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154412757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 WEST MAIN STREET",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551345",
            "telephone_number": "740-522-5029",
            "fax_number": "740-522-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 WEST MAIN STREET",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551345",
            "telephone_number": "740-522-5029",
            "fax_number": "740-522-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAHINFAR",
        "authorized_official_first_name": "SHAHIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR OWNER",
        "authorized_official_telephone_number": "740-522-3937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0086A5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2258079",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloomberg Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olivia Summa, M.A.
• Summer Bloom Recovery
• Sunrays Cardiology Inc
• Support Home Health Care LLC
• Surgical Interventions, LLC
• Elizabeth A Sutherland, LSW
• Gary Sutliff, MD
• Trisha D Swearingin, CNP
• Bethany K Swetnam, LCDCII, SWA
• Robin D Szalapato

• Ambulatory Surgical Clinic/Center in Newark, OH
• Providers in Newark, 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.
• 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.