NPIMap

Organization Active NPI

LHZ Limited PTR

  • Certified Registered Nurse Anesthetist
  • Stow, OH
National Provider Identifier
1497934517
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN214502 Issued in OH
Legal business name
LHZ LIMITED PTR
Practice address
4441 Hudson Dr
Stow, OH 44224-2218
Phone
(330) 920-4500
Fax
(330) 920-4501
NPI assigned
Oct 25, 2007
Organization subpart
Yes
Parent organization
LHZ LIMITEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Roseann Gombos, RN
Title
Administrator
Phone
(330) 920-4500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X RN214502 OH Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X RN214493 OH
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X RN237894 OH

Addresses

Primary practice location

4441 Hudson Dr
Stow, OH 44224-2218

Mailing address

4441 Hudson Dr
Stow, OH 44224-2218
Phone (330) 920-4500

Other identifiers 1

IdentifierTypeStateIssuer
2039083MedicaidOH

Other names 1

  • Saint Clare 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
O20040528000687 OH Part B Supplier - Clinic/Group Practice 9739160334 Receives reassigned benefits from 13 practitioners
Practice locations: Stow, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Saint Clare Surgery Ctr2 organizations share this tax ID, including this one
Part of
Saint Clare Surgery Ctr

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4441 Hudson Dr
Stow, OH 44224
Phone (330) 920-4500

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1497934517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 HUDSON DR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242218",
            "telephone_number": "330-920-4500",
            "fax_number": "330-920-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 HUDSON DR",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242218",
            "telephone_number": "330-920-4500",
            "fax_number": "330-920-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LHZ LIMITED PTR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LHZ LIMITED",
        "enumeration_date": "2007-10-25",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "GOMBOS",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-920-4500",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN214502",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN214493",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "RN237894",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039083",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Clare Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.