NPIMap

Organization Active NPI

Acute Care Surgeons LLC

  • Specialist
  • Westerville, OH
National Provider Identifier
1467607267
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35051847 Issued in OH
Legal business name
ACUTE CARE SURGEONS LLC
Practice address
477 Cooper Rd
Suite 440
Westerville, OH 43081-8053
Phone
(614) 898-5561
Fax
(614) 898-5563
NPI assigned
Nov 20, 2008
Last updated
Nov 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Mark E Davanzo, MDNPI 1689618118
Title
President
Phone
(614) 898-5561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35051847 OH Primary

Addresses

Primary practice location

477 Cooper Rd
Suite 440
Westerville, OH 43081-8053

Mailing address

477 Cooper Rd
Suite 440
Westerville, OH 43081-8053
Phone (614) 898-5561

Other identifiers 1

IdentifierTypeStateIssuer
1689618818OtherPERSONAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090320000001 OH Part B Supplier - Clinic/Group Practice 7214094101 Receives reassigned benefits from 7 practitioners
Practice locations: Dublin, OH; Westerville, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1467607267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 COOPER RD",
            "address_2": "SUITE 440",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818053",
            "telephone_number": "614-898-5561",
            "fax_number": "614-898-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 COOPER RD",
            "address_2": "SUITE 440",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818053",
            "telephone_number": "614-898-5561",
            "fax_number": "614-898-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUTE CARE SURGEONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "DAVANZO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-898-5561",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35051847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1689618818",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.