Physicians Regional Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PHYSICIANS REGIONAL SURGERY CENTER LLC

Practice address

103 Plaza Dr Ste a
Saint Clairsville, OH 43950-7729

Phone

(740) 449-2561

Fax

(740) 449-2688

NPI assigned

Aug 24, 2020

Organization subpart

No

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

Authorized official

Name

Dr. John Antalis, MD

Title

Owner

Phone

(740) 260-3045

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Physicians Regional Surgery Center LLCCCN 36C0001339

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Physicians Regional Surgery 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.

• Physicians Regional Surgery Center LLC

  • Certified Registered Nurse Anesthetist
  • Saint Clairsville, OH
  • NPI 1194537332
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Anthony Bannan

  • Ophthalmology Physician
  • Wheeling, WV
  • NPI 1548328875
  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1497368013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PLAZA DR STE A",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439507729",
            "telephone_number": "740-449-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PLAZA DR STE A",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439507729",
            "telephone_number": "740-449-2561",
            "fax_number": "740-449-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS REGIONAL SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "ANTALIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-260-3045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petruso Hearing and Audiology
• Abigail Phillips, LPC
• Talitha Marie Phillips
• Alexis Phinisey, PT, DPT, ATC
• Physicians Regional Surgery Center LLC
• Beverly Jo Piatt, AS
• Midas Elaine Pickering
• Pittsburgh Vamc
• Kimberly Ann Planey
• John N. Pokas, O.D.

• Ambulatory Surgical Clinic/Center in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.