Organization Active NPI

Mercy Surgery Center, LTD

  • Ambulatory Surgical Clinic/Center
  • Springfield, OH
National Provider Identifier
1578551594
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
309-0388AS Issued in OH
Legal business name
MERCY SURGERY CENTER, LTD
Practice address
2610 N Limestone St
Springfield, OH 45503-1114
Phone
(937) 390-8310
Fax
(937) 390-8327
NPI assigned
Oct 13, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sarah (Sally) F Merrill, BSN, MBA
Title
Administrator
Phone
(937) 390-8310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 309-0388AS OH Primary

Addresses

Primary practice location

2610 N Limestone St
Springfield, OH 45503-1114

Mailing address

2610 N Limestone St
Springfield, OH 45503-1114
Phone (937) 390-8310

Other identifiers 1

IdentifierTypeStateIssuer
2033249MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578551594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 N LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031114",
            "telephone_number": "937-390-8310",
            "fax_number": "937-390-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 N LIMESTONE ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455031114",
            "telephone_number": "937-390-8310",
            "fax_number": "937-390-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SURGERY CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "SARAH (SALLY)",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-390-8310",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "309-0388AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2033249",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.