Organization Active NPI

Ohio Specialty Surgical Suites, LLC

  • Ambulatory Surgical Clinic/Center
  • North Canton, OH
National Provider Identifier
1508276080
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OHIO SPECIALTY SURGICAL SUITES, LLC
Practice address
7442 Frank Ave NW
North Canton, OH 44720-7022
Phone
(234) 209-9397
NPI assigned
May 6, 2014
Last updated
Feb 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Authorized official

Name
Dr. Ajay K Seth, M.D.NPI 1689662843
Title
Chief Executive Officer
Phone
(234) 209-9397

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
Ambulatory Surgical Clinic/Center 261QA1903X OH Primary

Addresses

Primary practice location

7442 Frank Ave NW
North Canton, OH 44720-7022

Mailing address

7442 Frank Ave NW
Suite 2200
North Canton, OH 44720-7022
Phone (234) 209-9397

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140902001968 OH Part B Supplier - Ambulatory Surgical Center 8022236181 Practice locations: North Canton, OH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Ohio Specialty Surgical Suites LLCCCN 36C0001285
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
36D2078406Ohio Specialty Surgical Suites7442 Frank Ave NW 2ND FL, North Canton, OH 44720Certificate of waiverMay 27, 2028

National Provider Directory

National Provider Directory

Locations

7442 Frank Ave NW
Fl 2
North Canton, OH 44720
Phone (234) 209-9397

7442 Frank Ave NW
Ste 2200
North Canton, OH 44720

Practitioners & affiliated clinicians

Practitioners 2

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": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1508276080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7442 FRANK AVE NW",
            "address_2": "SUITE 2200",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207022",
            "telephone_number": "234-209-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7442 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207022",
            "telephone_number": "234-209-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO SPECIALTY SURGICAL SUITES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "SETH",
        "authorized_official_first_name": "AJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "234-209-9397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.