Surgery Center of Sandusky LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0508AS Issued in OH

Legal business name

SURGERY CENTER OF SANDUSKY LLC

Doing business as

Surgery Center of Sandusky

Practice address

2616 Hayes Ave
Sandusky, OH 44870-5311

Phone

(419) 626-2800

Fax

(419) 626-2820

NPI assigned

Aug 21, 2006

Last updated

Feb 15, 2023By 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

Michele Rene Mann

Title

Credentialing Manager

Phone

(517) 896-8430

Specialties & licenses 2

Addresses

Other names 1

• Surgery Center of Sandusky Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Surgery Center of Sandusky LLC

  dba Surgery Center of Sandusky

  • Certified Registered Nurse Anesthetist
  • Sandusky, OH
  • NPI 1891883096

  6901807957

  Same PAC ID

Listed as

Surgery Center of SanduskyCCN 36C0001123

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 4

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.

• Eric James Dudenhoefer, M.D.

  • Ophthalmology Physician
  • Sandusky, OH
  • NPI 1679511935
  Medicare reassignment
• Alexander P Kosmidis, MD

  • Ophthalmology Physician
  • Fairview Park, OH
  • NPI 1598920407
  Medicare reassignment
• Kenneth E Parschauer, DO

  • Ophthalmology Physician
  • Sandusky, OH
  • NPI 1225097884
  Medicare reassignment
• Kristina Valerie Thomas, M.D.

  • Ophthalmology Physician
  • Sandusky, OH
  • NPI 1528258449
  Medicare reassignment

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676419200000",
    "number": "1295841666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705311",
            "telephone_number": "419-626-2800",
            "fax_number": "419-626-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705311",
            "telephone_number": "419-626-2800",
            "fax_number": "419-626-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF SANDUSKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "517-896-8430"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0508AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of Sandusky",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgery Center of Sandusky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sureka Suntharavel, OD
• Joseph J Supina Sr.
• Surfield Plastic Surgery, LLC
• Gregory A Surfield, MD
• Surgery Center of Sandusky (Sandusky Plastic Surgery Inc)
• Surgery Center of Sandusky LLC (Surgery Center of Sandusky)
• Nichole Carmella Sutherland, CNP, APRN
• Kimberly Ann Sutton
• SVS Vision Inc
• Dowzell Medford Swayngim Jr., MD

• Ambulatory Surgical Clinic/Center in Sandusky, OH
• Providers in Sandusky, 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 Feb 15, 2023; 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.