Lippy Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

LIPPY SURGERY CENTER LLC

Practice address

3893 E Market St
Warren, OH 44484-4706

Phone

(330) 856-3075

Fax

(330) 856-1187

NPI assigned

Oct 13, 2006

Last updated

Feb 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Marie Theodosopoulos

Title

Chief Clinical Officer

Phone

(330) 260-7810

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Lippy Surgery Center LLCCCN 36C0001232

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Leonard P Berenholz, M.D.

  • Otology & Neurotology Physician
  • Warren, OH
  • NPI 1174526305
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1558451583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3893 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844706",
            "telephone_number": "330-856-3075",
            "fax_number": "330-856-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3893 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844706",
            "telephone_number": "330-856-3075",
            "fax_number": "330-856-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIPPY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "THEODOSOPOULOS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "330-260-7810"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Limbeck, LPN
• Daniel Linebaugh, PTA
• Marie Anne Lingenfelter, CPNP-PC
• Therese McCullough Linnon, D.O.
• Lippy Group Hearing Aid Center
• Ashley Littell
• Little Red Bird CC, Inc.
• Betsy N Little
• Kenneth Lloyd Jr., LICDC, LSW
• Beverly M Locke

• Ambulatory Surgical Clinic/Center in Warren, OH
• Providers in Warren, 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 Feb 27, 2024; 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.