Rockside Road Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0722AS Issued in OH

Legal business name

ROCKSIDE ROAD SURGERY CENTER, LLC

Practice address

6701 Rockside Rd
Suite 101
Independence, OH 44131-2358

Phone

(216) 524-0120

Fax

(216) 524-0455

NPI assigned

Jan 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Mark Janack

Title

Operations Manager

Phone

(216) 447-6070

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Michael Grischkan, MD

  • Surgery Physician
  • Beachwood, OH
  • NPI 1427149855
  NPD (past)

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1174709786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD",
            "address_2": "SUITE 101",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312358",
            "telephone_number": "216-524-0120",
            "fax_number": "216-524-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD",
            "address_2": "SUITE 101",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312358",
            "telephone_number": "216-524-0120",
            "fax_number": "216-524-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKSIDE ROAD SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "JANACK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "216-447-6070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0722AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2457149",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janeen A Rocco, CRNA
• Susan Lynn Rockhold
• Rockside Family Dental Care
• Rockside Health & Wellness, LLC
• Rockside Neck Back & Migraine Center LLC
• Katie Christine Rodrick, MS, ATC, CSCS
• Jessica Lyn Rodriguez, PH.D.
• Bruce Rogen, MD
• Kimberly Ann Rogers
• Deana Rosales

• Ambulatory Surgical Clinic/Center in Independence, OH
• Providers in Independence, 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 Jan 14, 2008; 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.