Brainard Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BRAINARD SURGERY CENTER LLC

Practice address

29017 Cedar Road
Lyndurst, OH 44124-7982

Phone

(440) 460-8000

Fax

(440) 460-4225

NPI assigned

Dec 13, 2017

Last updated

Jun 17, 2019By 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

Bahman Guyuron, MD

Title

President

Phone

(440) 461-7999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Brainard Surgery CenterCCN 36C0001316

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• St Vincent Charity Medical Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1710951801

  Member Of

  NPD member

Practitioners 2

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.

• Beth A Cadiou, RN

  • Registered Nurse
  • Painesville, OH
  • NPI 1679112197
  NPD
• Daniel A. Medalie, MD

  • Plastic Surgery Physician
  • Cleveland, OH
  • NPI 1083630891
  NPD (past)

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1295240133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29017 CEDAR ROAD",
            "city": "LYNDURST",
            "state": "OH",
            "postal_code": "441247982",
            "telephone_number": "440-460-8000",
            "fax_number": "440-460-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29017 CEDAR ROAD",
            "city": "LYNDURST",
            "state": "OH",
            "postal_code": "441247982",
            "telephone_number": "440-460-8000",
            "fax_number": "440-460-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINARD SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-13",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "GUYURON",
        "authorized_official_first_name": "BAHMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-461-7999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.

Verify at the official NPI Registry.