NPIMap

Organization Active NPI

LHZ Limited PTR

Doing business as Saint Clare Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Stow, OH
National Provider Identifier
1386632610
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
308 Issued in OH
Legal business name
LHZ LIMITED PTR
Doing business as
Saint Clare Surgery Center
Practice address
4441 Hudson Dr
Stow, OH 44224-2218
Phone
(330) 920-4500
Fax
(330) 920-4501
NPI assigned
Oct 11, 2005
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Ms. Roseann J Gombos, RN BSN
Title
Administrator
Phone
(330) 920-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 308 OH Primary

Addresses

Primary practice location

4441 Hudson Dr
Stow, OH 44224-2218

Mailing address

4441 Hudson Dr
Stow, OH 44224-2218
Phone (330) 920-4500

Other identifiers 1

IdentifierTypeStateIssuer
2017847MedicaidOH

Other names 1

  • Saint Clare Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080617000172 OH Part B Supplier - Ambulatory Surgical Center 9739160334 Receives reassigned benefits from 7 practitioners
Practice locations: Stow, OH

Other NPIs with the same Medicare PAC ID 1

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

  • LHZ Limited PTR

    dba Saint Clare Surgery Center

    • Certified Registered Nurse Anesthetist
    • Stow, OH
    • NPI 1497934517

    9739160334

    Same PAC ID

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
LHZ LTD Dba St Clare Surgery CenterCCN 36C0001082
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Saint Clare Surgery Cen2 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.

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1386632610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 HUDSON DR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242218",
            "telephone_number": "330-920-4500",
            "fax_number": "330-920-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 HUDSON DR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242218",
            "telephone_number": "330-920-4500",
            "fax_number": "330-920-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHZ LIMITED PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "GOMBOS",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-920-4500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2017847",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Clare Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.