NPIMap

Organization Active NPI

Uh North Ridgeville Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • North Ridgeville, OH
National Provider Identifier
1396213294
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
UH NORTH RIDGEVILLE ENDOSCOPY CENTER LLC
Practice address
32800 Lorain Rd Ste 2400
North Ridgeville, OH 44039-3430
Phone
(440) 406-5562
Fax
(833) 705-6301
NPI assigned
Nov 8, 2018
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Emily Mack
Title
Administrator
Phone
(440) 406-5562

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary
Anesthesiology Physician 207L00000X NU

Addresses

Primary practice location

32800 Lorain Rd Ste 2400
North Ridgeville, OH 44039-3430

Mailing address

32800 Lorain Rd Ste 2400
North Ridgeville, OH 44039-3430
Phone (440) 406-5562

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190118002818 OH Part B Supplier - Ambulatory Surgical Center 5890032494 Receives reassigned benefits from 27 practitioners
Practice locations: North Ridgeville, OH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Uh North Ridgeville Endoscopy Center LLCCCN 36C0001321
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2159679Uh North Ridgeville Endoscopy32800 Lorain Road, North Ridgeville, OH 44039Certificate of waiverDec 20, 2026

National Provider Directory

National Provider Directory

Locations

32800 Lorain Rd
Ste 2400
North Ridgeville, OH 44039
Phone (440) 406-5562

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1396213294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32800 LORAIN RD STE 2400",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393430",
            "telephone_number": "440-406-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32800 LORAIN RD STE 2400",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393430",
            "telephone_number": "440-406-5562",
            "fax_number": "833-705-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UH NORTH RIDGEVILLE ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-406-5562"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.