Lorain Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0761AS Issued in OH

Legal business name

LORAIN SURGERY CENTER, LLC

Practice address

4804 Leavitt Rd
Ste B
Lorain, OH 44053-2139

Phone

(440) 245-0016

Fax

(440) 989-1335

NPI assigned

Jan 19, 2006

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. Lauren Sikora, RN

Title

Clinical Director

Phone

(440) 245-0016

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Lorain Surgery Center LLCCCN 36C0001202

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

Locations

Practitioners 2

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.

• Osama A Malak, M.D.

  • Specialist
  • Lorain, OH
  • NPI 1245218775
  NPD
• Bharat C. Shah, M.D.

  • Specialist
  • Lorain, OH
  • NPI 1548264179
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649250218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4804 LEAVITT RD",
            "address_2": "STE B",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532139",
            "telephone_number": "440-245-0016",
            "fax_number": "440-989-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 LEAVITT RD",
            "address_2": "STE B",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532139",
            "telephone_number": "440-245-0016",
            "fax_number": "440-989-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORAIN SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIKORA",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "440-245-0016",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0761AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7880730",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2599719",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "0255961",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "3798527",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorain Lifecare Ambulance Service Inc
• Lorain Operations, LLC (Elmcroft of Lorain)
• Lorain Pathology Services Inc
• Lorain Preparatory High School
• Lorain Prepartory Academy
• Lorain Urban Minority Alcoholism and Drug Abuse Outreach Program
• Los Arcos Dialysis LLC (Amherst Dialysis)
• Randall S Loudenslager, O.D.
• Kathy Loughrie, RN
• Amarava D Love-Scott, L.P.N

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