Organization Active NPI

Neo Surgical Associates, LLC

  • Surgery Physician
  • Alliance, OH
National Provider Identifier
1285794867
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34-006856 Issued in OH
Legal business name
NEO SURGICAL ASSOCIATES, LLC
Practice address
270 E State St
Suite #120
Alliance, OH 44601-4957
Phone
(330) 823-8452
Fax
(330) 823-8491
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Paul F Hudzik, DO
Title
Ceo
Phone
(330) 823-8452

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 34-006856 OH Primary
Vascular Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0129X 34-006856 OH

Addresses

Primary practice location

270 E State St
Suite #120
Alliance, OH 44601-4957

Mailing address

270 E State St
Suite #120
Alliance, OH 44601-4957
Phone (330) 823-8452

Other identifiers 2

IdentifierTypeStateIssuer
2707039MedicaidOH
DF5242OtherOHRRB

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1285794867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E STATE ST",
            "address_2": "SUITE #120",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014957",
            "telephone_number": "330-823-8452",
            "fax_number": "330-823-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E STATE ST",
            "address_2": "SUITE #120",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014957",
            "telephone_number": "330-823-8452",
            "fax_number": "330-823-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEO SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "HUDZIK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-823-8452",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "34-006856",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "34-006856",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2707039",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "DF5242",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.