Surgical Associates of Medina

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

SURGICAL ASSOCIATES OF MEDINA

Practice address

970 E Washington St
Suite 6-C
Medina, OH 44256-3332

Phone

(330) 725-4292

Fax

(330) 725-5043

NPI assigned

Jan 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Dennis Bica, M.D.NPI 1104805878

Title

President

Phone

(330) 725-4292

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Thomas Dennis Bica, M.D.

  • Surgical Technologist
  • Medina, OH
  • NPI 1104805878
  NPD (past) Authorized official
• Kristen E Dawson, M.D.

  • Surgery Physician
  • Medina, OH
  • NPI 1447239124

  Surgical Technologist

  NPD (past)
• Susan Michelle Miljkovic-Goodrich, M.D.

  • Surgical Technologist
  • Medina, OH
  • NPI 1922087790
  NPD (past)
• Warren William Rose, M.D.

  • Surgery Physician
  • Southbridge, MA
  • NPI 1538148218

  Surgical Technologist

  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235100843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST",
            "address_2": "SUITE 6-C",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563332",
            "telephone_number": "330-725-4292",
            "fax_number": "330-725-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST",
            "address_2": "SUITE 6-C",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563332",
            "telephone_number": "330-725-4292",
            "fax_number": "330-725-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF MEDINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BICA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-725-4292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0723168",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree Summers, LPCC-S
• Summerville at Camelot Place LLC (Emeritus at Camelot Place)
• Jennifer Sunday, L.P.C.C.
• Denise Sundby
• Casey Surblis, M. ED., BCBA
• Celeste Ann Survoy, PT
• Susan Marie Arceneaux MD Inc
• Sushil K Jain MD Inc
• Albert Charles Sutter
• Shareese Lynnette Swan

• Surgical Technologist in Medina, OH
• Providers in Medina, OH by specialty
• Surgical Technologist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.