Active NPI
Wilmington Surgery Center
- Ambulatory Surgical Clinic/Center
- Wilmington, OH
National Provider Identifier
1609014034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WILMINGTON SURGERY CENTER
- Practice address
- 721 W Main St
Wilmington, OH 45177-2126 - Phone
- (937) 382-7724
- Fax
- (937) 382-7726
- NPI assigned
- Jan 22, 2009
- 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
- Dr. Terry Schultz, OD
- Title
- Clinical Director
- Phone
- (866) 587-8790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
721 W Main St
Wilmington, OH 45177-2126
Mailing address
50 N Plaza Blvd
Chillicothe, OH 45601-1757
Phone (866) 587-8790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100726000021 | OH | Part B Supplier - Ambulatory Surgical Center | 5496887531 | Practice locations: Wilmington, OH |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Wilmington Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1095438 | Wilmington Surgery Center | Certificate of waiver | Feb 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
721 W Main St
Wilmington, OH 45177
Phone (937) 382-7724
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Circleville, OH
- NPI 1609845551
-
- Ophthalmology Physician
- Huber Heights, OH
- NPI 1427098615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232582400000",
"number": "1609014034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N PLAZA BLVD",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456011757",
"telephone_number": "866-587-8790",
"fax_number": "740-774-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 W MAIN ST",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451772126",
"telephone_number": "937-382-7724",
"fax_number": "937-382-7726"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILMINGTON SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-22",
"last_updated": "2009-01-22",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "866-587-8790",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, OH
- Wilmington Foot and Ankle Inc
- Wilmington Healthcare Group, Inc.
- Wilmington Medical Associates, Inc.
- Wilmington Nursing & Rehabilitation Center LLC
- Wilmington Physicians Group LLC
- Wilmington Surgical Associates, Inc.
- Wilmington Surgical Services LLC
- Charles Wilson
- Megan Winegar, PT
- Roger Winemiller, CPRS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.