Organization Active NPI

HSC Surgical Associates

  • Ambulatory Surgical Clinic/Center
  • Fairfield, OH
National Provider Identifier
1457490872
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0776AS Issued in OH
Legal business name
HSC SURGICAL ASSOCIATES
Doing business as
Fairfield Endoscopy Center
Practice address
2990 Mack Rd
Suite 203
Fairfield, OH 45014-5383
Phone
(513) 874-9432
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Alan V Safdi, MD
Title
Board Member
Phone
(513) 751-6667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0776AS OH Primary

Addresses

Primary practice location

2990 Mack Rd
Suite 203
Fairfield, OH 45014-5383

Mailing address

2990 Mack Rd
Suite 203
Fairfield, OH 45014-5383
Phone (513) 874-9432

Other identifiers 1

IdentifierTypeStateIssuer
0980827MedicaidOH

Other names 1

  • Fairfield Endoscopy Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fairfield Endoscopy Center2 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.

Locations

2990 Mack Rd
Ste 203
Fairfield, OH 45014
Phone (513) 860-4801

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1457490872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 MACK RD",
            "address_2": "SUITE 203",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145383",
            "telephone_number": "513-874-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 MACK RD",
            "address_2": "SUITE 203",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145383",
            "telephone_number": "513-874-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSC SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "SAFDI",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "513-751-6667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0776AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0980827",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfield Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.