Organization Active NPI

Ohio Center for Ambulatory Surgery, LLC

  • Surgery Physician
  • Beachwood, OH
National Provider Identifier
1285100933
Registry record updated Oct 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
OHIO CENTER FOR AMBULATORY SURGERY, LLC
Practice address
24025 Commerce Park Unit 2
Beachwood, OH 44122-5823
Phone
(216) 591-1422
Fax
(216) 591-1424
NPI assigned
Oct 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2018

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

Authorized official

Name
Dr. David Grischkan, MD
Title
Medical Director
Phone
(216) 591-1422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

24025 Commerce Park Unit 2
Beachwood, OH 44122-5823

Mailing address

24025 Commerce Park Unit 2
Beachwood, OH 44122-5823
Phone (216) 591-1422

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540080000000",
    "number": "1285100933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24025 COMMERCE PARK UNIT 2",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225823",
            "telephone_number": "216-591-1422",
            "fax_number": "216-591-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24025 COMMERCE PARK UNIT 2",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225823",
            "telephone_number": "216-591-1422",
            "fax_number": "216-591-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO CENTER FOR AMBULATORY SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-21",
        "last_updated": "2018-10-21",
        "status": "A",
        "authorized_official_last_name": "GRISCHKAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "216-591-1422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2018; 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.