Ohio Orthopedic Surgery Institute LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0712AS Issued in OH

Legal business name

OHIO ORTHOPEDIC SURGERY INSTITUTE LLC

Practice address

4605 Sawmill Rd
Ste 101
Columbus, OH 43220-2246

Phone

(614) 827-8777

Fax

(614) 488-7864

NPI assigned

Jun 17, 2005

Last updated

Dec 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lynn B Saul, RN

Title

Administrator

Phone

(614) 827-8777

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285639062. Details of each certification follow.

• CCN 360371 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 360371

Legal name

OHIO ORTHOPEDIC SURGERY INSTITUTE

Certification status

Terminated Other: provider status change, May 11, 2023

Provider type (POS)

Hospital – Short-term

Participating since

May 20, 2020

Last certification

May 20, 2020

Beds

1

Ownership / control type

Private (for profit)

Facility address

4605 Sawmill Road
Columbus, OH 43220

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Ohio Orthopedic Surgery Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Grove City, OH
  • NPI 1053830885

  7315844297

  Same PAC ID

Listed as

Ohio Orthopedic Surgery Institute LLCCCN 36C0001175

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Ohiohealth Corporation

  dba Doctors Hospital

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1972535052

  Member Of

  NPD member

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ohio Orthopedic Surgery Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Grove City, OH
  • NPI 1053830885
  NPPES parent name

Practitioners 1

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.

• Scott Elwin Van Aman, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Upper Arlington, OH
  • NPI 1205866266
  NPD

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1285639062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633607",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452633607",
            "telephone_number": "614-827-8777",
            "fax_number": "614-488-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 SAWMILL RD",
            "address_2": "STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202246",
            "telephone_number": "614-827-8777",
            "fax_number": "614-488-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO ORTHOPEDIC SURGERY INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "SAUL",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-827-8777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0712AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM ASC PROVIDER NUMBE",
            "identifier": "000000282681",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR ASC",
            "identifier": "200894000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD ASC",
            "identifier": "P00085241",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2445081",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ohio Podiatric Physicians and Surgeons Group, LLC
• Ohio Podiatric Physicians and Surgeons Group, LLC

• Ambulatory Surgical Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.