Organization Active NPI

Alliance Surgical Care Inc

  • Specialist
  • Alliance, OH
National Provider Identifier
1184785230
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35070562 Issued in OH
Legal business name
ALLIANCE SURGICAL CARE INC
Practice address
2461 West State Street
Suite C
Alliance, OH 44601-4686
Phone
(330) 823-4424
Fax
(330) 823-1179
NPI assigned
Dec 13, 2006
Last updated
Oct 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Mr. Samuel R Suitca
Title
Office Administrator
Phone
(330) 823-4424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35070562 OH Primary

Addresses

Primary practice location

2461 West State Street
Suite C
Alliance, OH 44601-4686

Mailing address

2461 West State Street
Suite C
Alliance, OH 44601-4686
Phone (330) 823-4424

Other identifiers 1

IdentifierTypeStateIssuer
0319702MedicaidOH

Other names 1

  • CLAUDIO DEPERALTA MD Other name

National Provider Directory

National Provider Directory

Locations

1207 W State St
Ste C
Alliance, OH 44601
Phone (216) 823-4424

2461 W State St
Ste C
Alliance, OH 44601
Phone (330) 337-1134

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1184785230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 WEST STATE STREET",
            "address_2": "SUITE C",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014686",
            "telephone_number": "330-823-4424",
            "fax_number": "330-823-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 WEST STATE STREET",
            "address_2": "SUITE C",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014686",
            "telephone_number": "330-823-4424",
            "fax_number": "330-823-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE SURGICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "SUITCA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "330-823-4424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35070562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0319702",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLAUDIO DEPERALTA MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 22, 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.