NPIMap

Organization Active NPI

Kaiser Foundation Health Plan of Ohio

Doing business as Parma Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Parma, OH
National Provider Identifier
1679649354
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
KAISER FOUNDATION HEALTH PLAN OF OHIO
Doing business as
Parma Ambulatory Surgery Center
Practice address
12301 Snow Road
Parma, OH 44130
Phone
(216) 265-8810
Fax
(216) 265-8890
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Craig Faerber
Title
VP Cfo
Phone
(216) 479-5136

Specialties & licenses 1

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

Addresses

Primary practice location

12301 Snow Road
Parma, OH 44130

Mailing address

12301 Snow Road
Parma, OH 44130
Phone (216) 265-8810

Other identifiers 1

IdentifierTypeStateIssuer
0211372MedicaidOH

Other names 1

  • Parma Ambulatory Surgery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthspan Integrated Care23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1679649354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 SNOW ROAD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "216-265-8810",
            "fax_number": "216-265-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 SNOW ROAD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "216-265-8810",
            "fax_number": "216-265-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAISER FOUNDATION HEALTH PLAN OF OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "FAERBER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "216-479-5136"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211372",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parma Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.