Pearl Road Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0874AS Issued in OH

Legal business name

PEARL ROAD SURGERY CENTER, LLC

Practice address

6900 Pearl Rd
Cleveland, OH 44130-3604

Phone

(440) 882-0103

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Roger Corle

Title

Authorized Official

Phone

(615) 778-0488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Pearl Road Surgery Center LLCCCN 36C0001240

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

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1720268279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 MALLORY STATION RD",
            "address_2": "SUITE 504",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672863",
            "telephone_number": "615-778-0488",
            "fax_number": "615-778-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PEARL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303604",
            "telephone_number": "440-882-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL ROAD SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "CORLE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-778-0488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0874AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomeakan Renee Peak
• Alexandra Pearce, MD
• Niki A Pearce, CNM
• Pearl Academy, Inc.
• Pearl Road Chiropractic, Inc
• Shafiah Pearl
• Basya Pearlmutter, MD
• Avram E Pearlstein, MD
• Andrea Paige Pearsall
• Shaquona Pearsall, ADVANCED PRACTICE RN

• Ambulatory Surgical Clinic/Center in Cleveland, OH
• Providers in Cleveland, 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 24, 2015; 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.