Olympian Surgical Suites LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

OLYMPIAN SURGICAL SUITES LLC

Practice address

1002 W Interstate Dr
Champaign, IL 61822

Phone

(217) 693-5703

Fax

(217) 693-5723

NPI assigned

Mar 5, 2009

Organization subpart

No

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

Authorized official

Name

Hailey Boyd

Title

Business Office Manager

Phone

(217) 693-5703

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Olympian Surgical SuitesCCN 14C0001144

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Osf Healthcare System

  dba OSF Healthcare Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Peoria, IL
  • NPI 1093370108

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sidney P Rohrscheib, M.D.

  • Surgery Physician
  • Clinton, IL
  • NPI 1073580122
  NPD

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1629218466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W INTERSTATE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61822",
            "telephone_number": "217-693-5703",
            "fax_number": "217-693-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 W INTERSTATE DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61822",
            "telephone_number": "217-693-5703",
            "fax_number": "217-693-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIAN SURGICAL SUITES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "HAILEY",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "217-693-5703"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rachel Olson, RN, CLC
• Mark Albert Olson, PHARMD
• Maura Kathleen Olson, RN
• Sarah L Olson, LCSW
• Laura Olthoff
• Omfs Practice Inc.
• One Hope United
• Oneopto Il 2 PLLC (All About Eyes)
• Obiajulu Patrick Onwuekwe, APN
• Chinyere Onyemere, PHARMD

• Ambulatory Surgical Clinic/Center in Champaign, IL
• Providers in Champaign, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.