Organization Active NPI

Orthopaedic Ambulatory Surgical Intervention Services, LLC

  • Ambulatory Surgical Clinic/Center
  • Canton, OH
National Provider Identifier
1720081870
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
261QA1903X Issued in OH
Legal business name
ORTHOPAEDIC AMBULATORY SURGICAL INTERVENTION SERVICES, LLC
Practice address
7000 Whipple Ave NW
Canton, OH 44720-7134
Phone
(330) 498-9898
Fax
(234) 236-0853
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Authorized official

Name
Mary Hudec
Title
Executive Director of Revenue Cycle
Phone
(330) 492-9200

Specialties & licenses 1

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

Addresses

Primary practice location

7000 Whipple Ave NW
Canton, OH 44720-7134

Mailing address

7000 Whipple Ave NW
Canton, OH 44720-7134
Phone (330) 498-9898

Other identifiers 1

IdentifierTypeStateIssuer
2167435MedicaidOH

Other names 1

  • OASIS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110301000215 OH Part B Supplier - Ambulatory Surgical Center 1052592706 Practice locations: Canton, OH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Orthopaedic Ambulatory Surgical Intervention ServicesCCN 36C0001122
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0989321Orthopaedic Ambulatory Surgical7000 Whipple Ave NW, Canton, OH 44720Certificate of waiverMar 3, 2027

National Provider Directory

National Provider Directory

Locations

4889 Munson St NW
Jackson Belden, OH 44718
Phone (330) 323-8526

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1720081870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447207134",
            "telephone_number": "330-498-9898",
            "fax_number": "342-236-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447207134",
            "telephone_number": "330-498-9898",
            "fax_number": "234-236-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC AMBULATORY SURGICAL INTERVENTION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "HUDEC",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "330-492-9200"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "261QA1903X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2167435",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OASIS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OASIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.