Avon Surgery Center LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Avon, OH
NPI 1245868488 · NPPES record last updated Aug 7, 2026
Key facts
- NPI
- 1245868488
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- AVON SURGERY CENTER LLC
- Practice address
- 36991 American Way
Avon, OH 44011-4060 - Phone
- (440) 540-4766
- NPI assigned
- Apr 1, 2020
- Organization subpart
- No
Authorized official
- Name
- William Wiley, MD
- Title
- Medical Director
- Phone
- (404) 540-4766
Member of 1
Practitioners 10
-
S Bilal Ahmed, MD
-
Rachel Davis, MD
-
Kathleen Jee, M.D.
-
Suzanne Kirk, MD
-
Daniel John Pierre, MD, MA
-
William F Wiley, M.D.
-
Shamik Bafna, MD
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Avon Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2183616 | Avon Surgery Center, LLC | Certificate of waiver | May 6, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200615000556 | OH | Part B Supplier - Ambulatory Surgical Center | 0547682833 | Practice locations: Avon, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
36991 American Way
Avon, OH 44011-4060
Mailing address
7001 S Edgerton Rd
Brecksville, OH 44141-4206
Phone (440) 540-4766
Other providers in Avon, OH
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- Avon Orth, LLC
- Avon Pointe Pediatric Dentistry
- Avon RH, LLC
- Avon Vision Centre LLC
- Anthony E Bacevice Jr.
- Kristen Bacik
- Aaron Joseph Baker
- Caleb Balduff
All providers in Avon, OH · Ambulatory Surgical Clinic/Center in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.