Organization Active NPI

Pickaway Surgical Center LTD

  • Multi-Specialty Clinic/Center
  • Circleville, OH
National Provider Identifier
1255323879
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
0608AS Issued in OH
Legal business name
PICKAWAY SURGICAL CENTER LTD
Practice address
1235 S Court St
Circleville, OH 43113-2108
Phone
(740) 420-9440
NPI assigned
Aug 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Authorized official

Name
Ms. Tracy Maloney
Title
Administrator
Phone
(740) 420-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 0608AS OH Primary

Addresses

Primary practice location

1235 S Court St
Circleville, OH 43113-2108

Mailing address

1235 S Court St
Circleville, OH 43113-2108
Phone (740) 420-9440

Other identifiers 1

IdentifierTypeStateIssuer
2342370MedicaidOH

Other names 1

  • Physicians Ambulatory Surgery Center Other name

National Provider Directory

National Provider Directory

Locations

1235 S Court St
Circleville, OH 43113
Phone (740) 420-9440

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1255323879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 S COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132108",
            "telephone_number": "740-420-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 S COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132108",
            "telephone_number": "740-420-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKAWAY SURGICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-420-9440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "OH",
            "license": "0608AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342370",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Ambulatory Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.