Organization Active NPI

Westerville Surgical Specialists LLC

  • Surgery Physician
  • Westerville, OH
National Provider Identifier
1326073826
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
WESTERVILLE SURGICAL SPECIALISTS LLC
Practice address
477 Cooper Rd
Suite 440
Westerville, OH 43081-8053
Phone
(380) 898-5561
Fax
(380) 898-5563
NPI assigned
Jul 12, 2006
Last updated
Nov 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Bryan T. Grischow, MD.NPI 1811937659
Title
Owner
Phone
(380) 898-5561

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35042997 OH
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

477 Cooper Rd
Suite 440
Westerville, OH 43081-8053

Mailing address

477 Cooper Rd Ste 440
Westerville, OH 43081-8055
Phone (380) 898-5561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040721000223 OH Part B Supplier - Clinic/Group Practice 6305826439 Receives reassigned benefits from 7 practitioners
Practice locations: Westerville, OH; Lewis Center, OH; Dublin, OH; Columbus, OH

National Provider Directory

National Provider Directory
Tax ID family
Westerville Surgical Specialists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

275 Taylor Station Rd
Bldg Ab
Columbus, OH 43213
Phone (380) 898-5561

477 Cooper Rd
Ste 440
Westerville, OH 43081
Phone (380) 898-5561

495 Cooper Rd
Ste 311
Westerville, OH 43081
Phone (614) 627-1490

495 Cooper Rd
Ste 311B
Westerville, OH 43081
Phone (614) 898-5561

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1326073826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 COOPER RD STE 440",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818055",
            "telephone_number": "380-898-5561",
            "fax_number": "380-898-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 COOPER RD",
            "address_2": "SUITE 440",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818053",
            "telephone_number": "380-898-5561",
            "fax_number": "380-898-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERVILLE SURGICAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "GRISCHOW",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "380-898-5561",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35042997",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.