NPIMap

Organization Active NPI

Akron Surgical Associates, LLC

  • Ambulatory Surgical Clinic/Center
  • Akron, OH
National Provider Identifier
1730344367
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
AKRON SURGICAL ASSOCIATES, LLC
Practice address
4127 Medina Rd Ste 104
Akron, OH 44333-2490
Phone
(330) 665-8120
Fax
(330) 665-8529
NPI assigned
Jul 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Timothy Longville
Title
Chief Accounting Officer & Control
Phone
(216) 636-7416

Specialties & licenses 1

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

Addresses

Primary practice location

4127 Medina Rd Ste 104
Akron, OH 44333-2490

Mailing address

4127 Medina Rd Ste 104
Akron, OH 44333-2490
Phone (330) 665-8120

Other identifiers 1

IdentifierTypeStateIssuer
2866322MedicaidOH

Other names 1

  • AKRON SURGERY CENTER PROVIDERS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1730344367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4127 MEDINA RD STE 104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332490",
            "telephone_number": "330-665-8120",
            "fax_number": "330-665-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4127 MEDINA RD STE 104",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332490",
            "telephone_number": "330-665-8120",
            "fax_number": "330-665-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRON SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "LONGVILLE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF ACCOUNTING OFFICER & CONTROL",
        "authorized_official_telephone_number": "216-636-7416"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2866322",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AKRON SURGERY CENTER PROVIDERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AKRON SURGERY CENTER PROVIDERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.