Organization Active NPI

Lorain Amherst Surgery Center LLC

Doing business as University Hospitals Amherst Beaver Creek Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Amherst, OH
National Provider Identifier
1558053868
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
LORAIN AMHERST SURGERY CENTER LLC
Doing business as
University Hospitals Amherst Beaver Creek Surgery Center
Practice address
915 North Lake Street
Suite 100
Amherst, OH 44001
Phone
(440) 634-5640
NPI assigned
May 24, 2023
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Rebecca Knutson
Title
Administrator/Ceo
Phone
(440) 634-5640

Specialties & licenses 1

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

Addresses

Primary practice location

915 North Lake Street
Suite 100
Amherst, OH 44001

Mailing address

PO Box 7010
Overland Park, KS 66207-0010
Phone (913) 647-6475

Other names 1

  • University Hospitals Amherst Beaver Creek 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
O20240209002983 OH Part B Supplier - Ambulatory Surgical Center 1355784984 Practice locations: Amherst, OH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Lorain Amherst Surgery Center Dba University Hospitals Amherst Beaver Creek Surgery CenterCCN 36C0001356
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
36D2298798Lorain Amherst Surgery Center, LLC915 North Lake Street, Amherst, OH 44001Certificate of waiverFeb 7, 2028

National Provider Directory

National Provider Directory

Locations

5000 College Blvd
Ste 400
Overland Park, KS 66211
Phone (913) 387-0679

Practitioners & affiliated clinicians

Practitioners 1

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": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1558053868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7010",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662070010",
            "telephone_number": "913-647-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 NORTH LAKE STREET",
            "address_2": "SUITE 100",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "44001",
            "telephone_number": "440-634-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORAIN AMHERST SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "KNUTSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "440-634-5640"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Hospitals Amherst Beaver Creek Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amherst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.