Organization Active NPI

Avon Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Avon, OH
National Provider Identifier
1245868488
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 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
Last updated
Aug 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Authorized official

Name
William Wiley, MDNPI 1689687147
Title
Medical Director
Phone
(404) 540-4766

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
Ambulatory Surgical Clinic/Center 261QA1903X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200615000556 OH Part B Supplier - Ambulatory Surgical Center 0547682833 Practice locations: Avon, OH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Avon Surgery CenterCCN 36C0001330
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2183616Avon Surgery Center, LLC36991 American Way, Suite 1, Avon, OH 44011Certificate of waiverMay 6, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7001 S Edgerton Rd
Brecksville, OH 44141
Phone (216) 621-6132

7001 S Edgerton Rd
Ste A
Brecksville, OH 44141
Phone (440) 717-0491

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1245868488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 S EDGERTON RD",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441414206",
            "telephone_number": "440-540-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36991 AMERICAN WAY",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114060",
            "telephone_number": "440-540-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-01",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-540-4766",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.