Organization Active NPI

Upper Arlington Surgery Center, LTD.

  • Ambulatory Surgical Clinic/Center
  • Columbus, OH
National Provider Identifier
1477558641
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
171 Issued in OH
Legal business name
UPPER ARLINGTON SURGERY CENTER, LTD.
Practice address
2240 N Bank Dr
Columbus, OH 43220-5420
Phone
(614) 566-5080
Fax
(614) 457-1887
NPI assigned
Jun 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Mrs. Maryann Cooney, RN
Title
Administrator
Phone
(614) 566-5080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 171 OH Primary

Addresses

Primary practice location

2240 N Bank Dr
Columbus, OH 43220-5420

Mailing address

2240 N Bank Dr
Columbus, OH 43220-5420
Phone (614) 566-5080

Other names 1

  • Riverside Outpatient Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804001774 OH Part B Supplier - Ambulatory Surgical Center 7719958461 Practice locations: Columbus, OH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Upper Arlington Surgery Center LTD Dba Riverside Outpatient Surgery CenterCCN 36C0001077
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
36D0860169Riverside Outpatient Surgery Center2240 North Bank Drive, Columbus, OH 43220Certificate of waiverApr 1, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2240 N Bank Dr
Uppr
Columbus, OH 43220

Practitioners & affiliated clinicians

Practitioners 2

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": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1477558641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 N BANK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432205420",
            "telephone_number": "614-566-5080",
            "fax_number": "614-457-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 N BANK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432205420",
            "telephone_number": "614-566-5080",
            "fax_number": "614-457-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER ARLINGTON SURGERY CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "COONEY",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-566-5080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Outpatient Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.