Active NPI
Pickaway Surgical Center LTD
- Multi-Specialty Clinic/Center
- Circleville, OH
National Provider Identifier
1255323879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- License
- 0608AS
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2342370 | Medicaid | OH |
Other names 1
- Physicians Ambulatory Surgery Center
National Provider Directory
National Provider DirectoryLocations
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.