Organization Active NPI

Barberton Surgical Associates

  • Specialist
  • Barberton, OH
National Provider Identifier
1356512735
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BARBERTON SURGICAL ASSOCIATES
Practice address
201 5TH St NE Ste 10
Barberton, OH 44203-3017
Phone
(330) 753-1001
Fax
(330) 753-1921
NPI assigned
Mar 13, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Ms. Deborah L Lucas, CMM, CPC
Title
Practice Administrator
Phone
(330) 753-7731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

201 5TH St NE Ste 10
Barberton, OH 44203-3017

Mailing address

201 5TH St NE Ste 10
Barberton, OH 44203-3017
Phone (330) 753-1001

Other identifiers 1

IdentifierTypeStateIssuer
2117060MedicaidOH

Other names 1

  • western reserve surgical associates Other name

National Provider Directory

National Provider Directory

Locations

201 5th St NE
Ste 10
Barberton, OH 44203
Phone (216) 753-1001

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1356512735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 5TH ST NE STE 10",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033017",
            "telephone_number": "330-753-1001",
            "fax_number": "330-753-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 5TH ST NE STE 10",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442033017",
            "telephone_number": "330-753-1001",
            "fax_number": "330-753-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBERTON SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "330-753-7731",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMM, CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117060",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "western reserve surgical associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Barberton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.