NPIMap

Organization Active NPI

Health Professionals of Holmes County, Inc

Doing business as Pomerene Surgical Services

  • Surgery Physician
  • Millersburg, OH
National Provider Identifier
1437332335
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HEALTH PROFESSIONALS OF HOLMES COUNTY, INC
Doing business as
Pomerene Surgical Services
Pomerene Urology
Practice address
1261 Wooster Rd
Suite 220
Millersburg, OH 44654-1568
Phone
(330) 763-2018
Fax
(330) 674-9706
NPI assigned
Dec 13, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTH PROFESSIONALS OF HOLMES COUNTY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Tia A Cernava
Title
Chief Financial Officer
Phone
(330) 674-1015

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OH Primary
Urology Physician 208800000X NU

Addresses

Primary practice location

1261 Wooster Rd
Suite 220
Millersburg, OH 44654-1568

Mailing address

981 Wooster Rd
Millersburg, OH 44654-1568
Phone (330) 674-1584

Other practice location 1

1261 Wooster Rd Ste 100
Millersburg, OH 44654-1568
Phone (330) 674-1015

Other identifiers 1

IdentifierTypeStateIssuer
2801418MedicaidOH

Other names 2

  • Pomerene Surgical Services Doing business as
  • Pomerene Urology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070702000432 OH Part B Supplier - Clinic/Group Practice 6002916194 Receives reassigned benefits from 94 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Berlin, OH; Sugarcreek, OH; Millersburg, OH; Loudonville, OH; Dover, OH

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Part of
HPHC Cardiac Rehab

Locations

1261 Wooster Rd
Ste 100
Millersburg, OH 44654
Phone (330) 438-6333

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437332335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 WOOSTER RD",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541568",
            "telephone_number": "330-674-1584",
            "fax_number": "330-763-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 WOOSTER RD",
            "address_2": "SUITE 220",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541568",
            "telephone_number": "330-763-2018",
            "fax_number": "330-674-9706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1261 Wooster Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Millersburg",
            "state": "OH",
            "postal_code": "446541568",
            "country_code": "US",
            "telephone_number": "330-674-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH PROFESSIONALS OF HOLMES COUNTY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH PROFESSIONALS OF HOLMES COUNTY, INC",
        "enumeration_date": "2007-12-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "CERNAVA",
        "authorized_official_first_name": "TIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "330-674-1015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2801418",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pomerene Surgical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pomerene Surgical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pomerene Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.