NPIMap

Organization Active NPI

Mount Vernon Surgical Care Inc.

  • Surgery Physician
  • Mount Vernon, OH
National Provider Identifier
1205936101
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35-07-8185 Issued in OH
Legal business name
MOUNT VERNON SURGICAL CARE INC.
Practice address
100 E Gambier St
Mount Vernon, OH 43050-3510
Phone
(740) 392-7420
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel S Paley, M.D.NPI 1326041674
Title
President, Surgeon
Phone
(740) 392-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 35-07-8185 OH Primary

Addresses

Primary practice location

100 E Gambier St
Mount Vernon, OH 43050-3510

Mailing address

9100 W 131St CT
Overland Park, KS 66213-4314
Phone (913) 681-3287

National Provider Directory

National Provider Directory

Locations

1684 Venture Dr
Ste D
Mount Vernon, OH 43050
Phone (740) 392-5800

100 E Gambier St
Mount Vernon, OH 43050
Phone (740) 392-5800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205936101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 W 131ST CT",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662134314",
            "telephone_number": "913-681-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E GAMBIER ST",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430503510",
            "telephone_number": "740-392-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON SURGICAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT, SURGEON",
        "authorized_official_telephone_number": "740-392-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-07-8185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.