Mercy Health Boardman Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MERCY HEALTH BOARDMAN SURGERY

Doing business as

MERCY HEALTH CANFIELD ASC

Practice address

4147 Westford PL
Canfield, OH 44406-8086

Phone

(513) 952-5273

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Ralston

Title

System Director Payor Admin

Phone

(419) 996-5119

Specialties & licenses 1

Addresses

Other names 1

• MERCY HEALTH CANFIELD ASC Doing business as

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1700492170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 WESTFORD PL",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 WESTFORD PL",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068086",
            "telephone_number": "513-952-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH BOARDMAN SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR PAYOR ADMIN",
        "authorized_official_telephone_number": "419-996-5119",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY HEALTH CANFIELD ASC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alanna Erin McEntire, D.C.
• Nancy M McNeal, LPN
• Daniel McQuillen, PT
• Medically Fit
• Megan Meek, MS, RD, LD
• Mary Monica Metcalf, LSW
• Michelle Edenfield Counseling
• Carrie Miller, BCBA
• Sandra Milligan, RN
• Mindwell Psychiatry LLC

• Ambulatory Surgical Clinic/Center in Canfield, OH
• Providers in Canfield, 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 Sep 21, 2020; 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.