Whitehall Surgery Center, LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

07551C Issued in OH

Legal business name

WHITEHALL SURGERY CENTER, LTD

Practice address

1030 Refugee Road
Suite 160
Pickerington, OH 43147

Phone

(614) 604-7444

Fax

(614) 604-7445

NPI assigned

Jun 13, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Laura Smith

Title

Administrator

Phone

(614) 604-7444

Specialties & licenses 1

Addresses

Other names 1

• Pickerington Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Central Ohio Plastic Surgery Inc

  • Plastic Surgery Physician
  • Lancaster, OH
  • NPI 1689691487

  O20050823000140

  Same enrollment

Listed as

Whitehall Surgery CenterCCN 36C0001091

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 1

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

• George M Rutan, D.P.M., F.A.C.F.A.S.

  • Podiatrist
  • Hilliard, OH
  • NPI 1538162326
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1679577167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 REFUGEE ROAD",
            "address_2": "SUITE 160",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "43147",
            "telephone_number": "614-604-7444",
            "fax_number": "614-604-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 REFUGEE ROAD",
            "address_2": "SUITE 160",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "43147",
            "telephone_number": "614-604-7444",
            "fax_number": "614-604-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHALL SURGERY CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-07-06",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-604-7444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "07551C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pickerington Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pickerington Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher M Wheeler
• Shawna Wheeler
• Areial White-Eaves
• Amanda Marie White, MS CCC SLP
• Sara Ann White
• Lindsey Marie Whitesed
• Tiffany Whitlock
• Kimar Whyte-Starks
• Andrew Wildermuth, LMT
• Allie Jae Wildroudt

• Ambulatory Surgical Clinic/Center in Pickerington, OH
• Providers in Pickerington, 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 Jul 6, 2022; 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.