NW Surgical Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NW SURGICAL CENTER

Practice address

545 SW 2ND St
Corvallis, OR 97333-4466

Phone

(541) 929-2070

NPI assigned

Dec 2, 2014

Organization subpart

No

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

Authorized official

Name

Nicolaus Goebeler

Title

Manager

Phone

(774) 208-8587

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1164829412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SW 2ND ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334466",
            "telephone_number": "541-929-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SW 2ND ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334466",
            "telephone_number": "541-929-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "GOEBELER",
        "authorized_official_first_name": "NICOLAUS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "774-208-8587"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katheryn Nuckolls, N.D.
• Stanley J. Nudelman, M.D.
• Elijah Matthew Nunez
• Thomas Nunnery
• James M Nusrala, M.D.
• NW Surgical Center LLC
• Miriam Nwaele, PHARMD
• Akaraka Obiefuna Nwankwo
• Erin Nye, LCSW
• Eric Jason Nygard

• Ambulatory Surgical Clinic/Center in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Ambulatory Surgical Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.