NPIMap

Organization Active NPI

Northeast Surgical Associates of Ohio LTD

  • Surgery Physician
  • Independence, OH
National Provider Identifier
1184956138
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NORTHEAST SURGICAL ASSOCIATES OF OHIO LTD
Practice address
6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2366
Phone
(216) 643-2780
Fax
(216) 524-0111
NPI assigned
Feb 2, 2010
Last updated
Feb 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Authorized official

Name
Theresa Avsec
Title
Practice Manager
Phone
(216) 643-2780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2366

Mailing address

6100 Rockside Woods Blvd N
Suite 425
Independence, OH 44131-2366
Phone (216) 643-2780

National Provider Directory

National Provider Directory

Locations

125 E Broad St
Ste 219
Elyria, OH 44035
Phone (440) 326-5250

12000 McCracken Rd
Ste 214
Garfield Hts, OH 44125
Phone (216) 587-3422

6100 Rockside Woods Blvd N
#4
Independence, OH 44131

224 W Lorain St
#C
Oberlin, OH 44074
Phone (440) 776-7030

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1184956138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD N",
            "address_2": "SUITE 425",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312366",
            "telephone_number": "216-643-2780",
            "fax_number": "216-524-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 ROCKSIDE WOODS BLVD N",
            "address_2": "SUITE 425",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312366",
            "telephone_number": "216-643-2780",
            "fax_number": "216-524-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SURGICAL ASSOCIATES OF OHIO LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "AVSEC",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "216-643-2780"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.