Portage Surgical Associates Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PORTAGE SURGICAL ASSOCIATES INC

Practice address

3973 Loomis Pkwy
Suite B
Ravenna, OH 44266-1803

Phone

(330) 296-8239

Fax

(330) 296-6528

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward Panzeter, MD

Title

President

Phone

(330) 296-8239

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

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

• John Gusz, MD

  • Surgery Physician
  • Ravenna, OH
  • NPI 1346294683
  Medicare reassignment Care Compare group NPD
• Lynn Wojtasik, MD

  • Surgery Physician
  • Ravenna, OH
  • NPI 1740232735
  Medicare reassignment Care Compare group NPD
• Peter Chen, MD

  • Surgery Physician
  • Alhambra, CA
  • NPI 1033163357
  NPD (past)
• Jennifer Lee McNeill, M.D.

  • Surgery Physician
  • Garland, TX
  • NPI 1407885940
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194778522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 LOOMIS PKWY",
            "address_2": "SUITE B",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661803",
            "telephone_number": "330-296-8239",
            "fax_number": "330-296-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3973 LOOMIS PKWY",
            "address_2": "SUITE B",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661803",
            "telephone_number": "330-296-8239",
            "fax_number": "330-296-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANZETER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-296-8239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2045263",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Portage Industries, Inc.
• Portage Pathology Associates, Inc
• Portage Physical Therapists ,Inc
• Portage Physicians Endoscopy Inc
• Portage Regional Gastroenterology, LLC
• Portage Vision Care LLC
• Samatha Porter, QMHS, CDCA
• Sonya Porter
• Kandi J Portz-Novak, M.A.
• D'Angelo Powell

• Surgery Physician in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.