Organization Active NPI

Surgical Associates of Springfield Inc

  • Specialist
  • Springfield, OH
National Provider Identifier
1437219458
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SURGICAL ASSOCIATES OF SPRINGFIELD INC
Practice address
30 Warder St
Suite 220
Springfield, OH 45504-2500
Phone
(937) 399-7021
Fax
(937) 521-4825
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Mrs. Teresa Finnegan
Title
Practice Manager
Phone
(937) 521-4823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

30 Warder St
Suite 220
Springfield, OH 45504-2500

Mailing address

30 Warder St
Suite 220
Springfield, OH 45504-2500
Phone (937) 399-7021

Other identifiers 1

IdentifierTypeStateIssuer
0975968MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040819000681 OH Part B Supplier - Clinic/Group Practice 6103899869 Receives reassigned benefits from 3 practitioners
Practice locations: Urbana, OH; Springfield, OH

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
36D0932100Surgical Associates of Springfield Inc30 Warder St Ste 220 & 240, Springfield, OH 45504Certificate of waiverFeb 25, 2028

National Provider Directory

National Provider Directory

Locations

3359 Kemp Rd
#120
Beavercreek, OH 45431

30 Warder St
Ste 220240
Springfield, OH 45504

30 Warder St
Ste 240
Springfield, OH 45504

100 E Main St
Springfield, OH 45502

30 Warder St
Ste 220
Springfield, OH 45504
Phone (937) 521-4823

1615 E High St
Springfield, OH 45505

30 Warder St
Ste AND240
Springfield, OH 45504

1430 E US Highway 36
Urbana, OH 43078
Phone (937) 484-4600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1437219458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 WARDER ST",
            "address_2": "SUITE 220",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042500",
            "telephone_number": "937-399-7021",
            "fax_number": "937-521-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WARDER ST",
            "address_2": "SUITE 220",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042500",
            "telephone_number": "937-399-7021",
            "fax_number": "937-521-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ASSOCIATES OF SPRINGFIELD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "FINNEGAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "937-521-4823",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0975968",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.