Active NPI
Surgery Alliance LTD
- Clinic/Center
- Alliance, OH
National Provider Identifier
1558345033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 0030AS
- Legal business name
- SURGERY ALLIANCE LTD
- Practice address
- 975 Sawburg Ave
Alliance, OH 44601-3515 - Phone
- (330) 821-7997
- Fax
- (330) 821-7295
- NPI assigned
- Nov 30, 2005
- Last updated
- Aug 22, 2020
- 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. Hazel Thomas
- Title
- Administrator
- Phone
- (330) 821-7997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 0030AS | OH | Primary |
Addresses
Primary practice location
975 Sawburg Ave
Alliance, OH 44601-3515
Mailing address
975 Sawburg Ave
Alliance, OH 44601-3515
Phone (330) 821-7997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0177393 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091210000247 | OH | Part B Supplier - Ambulatory Surgical Center | 5597805291 | Practice locations: Alliance, OH |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgery Alliance LTD
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Surgery Alliance
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Alliance, OH
- NPI 1164508305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558345033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "975 SAWBURG AVE",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446013515",
"telephone_number": "330-821-7997",
"fax_number": "330-821-7295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 SAWBURG AVE",
"city": "ALLIANCE",
"state": "OH",
"postal_code": "446013515",
"telephone_number": "330-821-7997",
"fax_number": "330-821-7295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGERY ALLIANCE LTD",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "HAZEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "330-821-7997",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "OH",
"license": "0030AS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0177393",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alliance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.