Physicians Regional Surgery Center LLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

PHYSICIANS REGIONAL SURGERY CENTER LLC

Practice address

103 Plaza Dr Ste a
Saint Clairsville, OH 43950-7729

Phone

(740) 449-2561

NPI assigned

Jan 24, 2025

Organization subpart

No

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

Authorized official

Name

Raymond Anthony Bannan, MD

Title

Owner

Phone

(740) 449-2561

Specialties & licenses 1

Addresses

Tax ID family

Physicians Regional Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Physicians Regional Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Saint Clairsville, OH
  • NPI 1497368013
  NPD tax ID

Locations

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1194537332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PLAZA DR STE A",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439507729",
            "telephone_number": "740-449-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PLAZA DR STE A",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439507729",
            "telephone_number": "740-449-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS REGIONAL SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "BANNAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-449-2561",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallin Peterson, PA
• Petruso Hearing and Audiology
• Abigail Phillips, LPC
• Talitha Marie Phillips
• Alexis Phinisey, PT, DPT, ATC
• Physicians Regional Surgery Center LLC
• Beverly Jo Piatt, AS
• Midas Elaine Pickering
• Pittsburgh Vamc
• Kimberly Ann Planey

• Certified Registered Nurse Anesthetist in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.