Dublin Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0731AS Issued in OH

Legal business name

DUBLIN SURGERY CENTER LLC

Practice address

5005 Parkcenter Ave
Dublin, OH 43017-3582

Phone

(614) 932-9548

Fax

(614) 932-9549

NPI assigned

Mar 23, 2010

Last updated

Mar 23, 2010By 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

Dr. Roger Amigo, D.O.

Title

President

Phone

(614) 932-9548

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Dublin Surgery Center LLCCCN 36C0001187

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

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

• Ohiohealth Corporation

  dba Doctors Hospital

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1972535052

  Member Of

  NPD member

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1710201538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 PARKCENTER AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173582",
            "telephone_number": "614-932-9548",
            "fax_number": "614-932-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PARKCENTER AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173582",
            "telephone_number": "614-932-9548",
            "fax_number": "614-932-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBLIN SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "AMIGO",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-932-9548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0731AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dublin Smile Shack Inc (Smile Dublin)
• Dublin SNF Healthcare LLC (Dublin Post Acute)
• Dublin Springs Physician Group, LLC
• Dublin Springs, LLC
• Dublin Springs, LLC (Dublin Springs)
• Dublin Surgical Center, LLC
• Dublin Urgent Care Inc (America's Urgent Care of Dublin)
• Angelia Dubois
• Jazmine Monique Dubose
• John Edmond Duckworth, DMD, M.MED.SC

• Ambulatory Surgical Clinic/Center in Dublin, OH
• Providers in Dublin, 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 Mar 23, 2010; 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.