Active NPI
Upper Arlington Surgery Center, LTD.
- Ambulatory Surgical Clinic/Center
- Columbus, OH
National Provider Identifier
1477558641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 171
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0860169 | Riverside Outpatient Surgery Center | Certificate of waiver | Apr 1, 2027 |
National Provider Directory
National Provider DirectoryMember 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.
-
- Obstetrics & Gynecology Physician
- Columbus, OH
- NPI 1417045667
-
- Ophthalmology Physician
- Columbus, OH
- NPI 1417902586
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.