Active NPI
Physicians Outpatient Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Belpre, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PHYSICIANS OUTPATIENT SURGERY CENTER, LLC
- Practice address
- 1933 Washington Blvd
Belpre, OH 45714-2041 - Phone
- (740) 423-7557
- Fax
- (740) 423-7559
- NPI assigned
- Jul 4, 2006
- Last updated
- May 13, 2013
- 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
- Dr. David Spencer George, MD
- Title
- Partner/Medical Director
- Phone
- (304) 428-3500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
1933 Washington Blvd
Belpre, OH 45714-2041
Mailing address
418 Grand Park Dr
Suite 315
Parkersburg, WV 26105-4000
Phone (304) 428-3500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000190429 | Other | ANTHEM BLUE CROSS | |
| 490004533 | Other | RAILROAD MEDICARE | |
| 000328563 | Other | MOUNTAIN STATE BLUE CROSS | |
| ASC49113 | Other | THE HEALTH PLAN | |
| 119897 | Other | CARELINK | |
| 2258471 | Medicaid | OH | |
| 6904001000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131202001501 | OH | Part B Supplier - Ambulatory Surgical Center | 2860628526 | Practice locations: Belpre, OH |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Physicians Outpatient Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0965759 | Physicians Outpatient Surgery Ctr LTD | Certificate of waiver | Sep 27, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
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.
-
- Ophthalmology Physician
- Parkersburg, WV
- NPI 1619945755
-
- Ophthalmology Physician
- Parkersburg, WV
- NPI 1740258904
-
- Ophthalmology Physician
- Parkersburg, WV
- NPI 1730156571
-
- Retina Specialist (Ophthalmology) Physician
- Canton, OH
- NPI 1205839552
-
- Ophthalmology Physician
- Durham, NC
- NPI 1912909227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368403200000",
"number": "1285664300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 GRAND PARK DR",
"address_2": "SUITE 315",
"city": "PARKERSBURG",
"state": "WV",
"postal_code": "261054000",
"telephone_number": "304-428-3500",
"fax_number": "304-422-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 WASHINGTON BLVD",
"city": "BELPRE",
"state": "OH",
"postal_code": "457142041",
"telephone_number": "740-423-7557",
"fax_number": "740-423-7559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS OUTPATIENT SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2013-05-13",
"status": "A",
"authorized_official_last_name": "GEORGE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "SPENCER",
"authorized_official_title_or_position": "PARTNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "304-428-3500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000190429",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "490004533",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BLUE CROSS",
"identifier": "000328563",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE HEALTH PLAN",
"identifier": "ASC49113",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARELINK",
"identifier": "119897",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2258471",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6904001000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belpre, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.