NPIMap

Organization Active NPI

Foundation Surgery Affiliate of Middleburg Heights, LLC

  • Ambulatory Surgical Clinic/Center
  • Middleburg Heights, OH
National Provider Identifier
1659324705
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0782AS Issued in OH
Legal business name
FOUNDATION SURGERY AFFILIATE OF MIDDLEBURG HEIGHTS, LLC
Practice address
15345 Bagley Rd
Middleburg Heights, OH 44130-4825
Phone
(440) 743-8400
Fax
(440) 743-8401
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Thomas A Newman
Title
Evp and Chief Operating Officer
Phone
(405) 608-1706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0782AS OH Primary

Addresses

Primary practice location

15345 Bagley Rd
Middleburg Heights, OH 44130-4825

Mailing address

14000 N Portland Ave
Suite 200
Oklahoma City, OK 73134-4003
Phone (405) 608-1766

Other names 1

  • BIG CREEK SURGERY CENTER Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

Locations

15345 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 743-8000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1659324705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14000 N PORTLAND AVE",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731344003",
            "telephone_number": "405-608-1766",
            "fax_number": "405-608-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15345 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304825",
            "telephone_number": "440-743-8400",
            "fax_number": "440-743-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION SURGERY AFFILIATE OF MIDDLEBURG HEIGHTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EVP AND CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "405-608-1706"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0782AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIG CREEK SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.