WRSC Acquisition Group, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0027AS Issued in OH

Legal business name

WRSC ACQUISITION GROUP, LLC

Doing business as

Western Reserve Surgery Center

Practice address

1930 State Route 59
Kent, OH 44240-4112

Phone

(330) 677-3292

Fax

(330) 677-3624

NPI assigned

Dec 13, 2005

Last updated

Aug 22, 2020By 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

Mrs. Laurie A Simon

Title

Administrator

Phone

(330) 677-3292

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WESTERN RESERVE SURGERY CENTER Doing business as

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629053608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 STATE ROUTE 59",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404112",
            "telephone_number": "330-677-3292",
            "fax_number": "330-677-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 STATE ROUTE 59",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404112",
            "telephone_number": "330-677-3292",
            "fax_number": "330-677-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRSC ACQUISITION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-677-3292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0027AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2585680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTERN RESERVE SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Dean Wolf, MFTT BA
• Shannon Marie Wood
• Veronica M. Woods
• Dianne Marie Wright, LPN
• Terasa Wright, LSW
• Nicole Wurm, PHARMD
• Cynthia A. Yamokoski, PH.D.
• Yanke Bionics Inc
• Chad Yates, PC
• Christina Louise Yeager, CPRS

• Ambulatory Surgical Clinic/Center in Kent, OH
• Providers in Kent, 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 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.