Organization Active NPI

Urology Office Surgical Service, LLC

  • Clinic/Center
  • Cleveland, OH
National Provider Identifier
1750616736
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UROLOGY OFFICE SURGICAL SERVICE, LLC
Practice address
19250 Bagley Rd Ste 104
Cleveland, OH 44130-3347
Phone
(440) 891-6500
Fax
(440) 891-1196
NPI assigned
Oct 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Kalish Kedia, M.D.
Title
President
Phone
(440) 891-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

19250 Bagley Rd Ste 104
Cleveland, OH 44130-3347

Mailing address

19250 Bagley Rd Ste 104
Cleveland, OH 44130-3347
Phone (440) 891-6500

National Provider Directory

National Provider Directory

Locations

19250 Bagley Rd
Ste 104
Middleburg Heights, OH 44130
Phone (440) 891-9900

NPI Registry JSON

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1750616736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19250 BAGLEY RD STE 104",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303347",
            "telephone_number": "440-891-6500",
            "fax_number": "440-891-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19250 BAGLEY RD STE 104",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303347",
            "telephone_number": "440-891-6500",
            "fax_number": "440-891-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY OFFICE SURGICAL SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "KEDIA",
        "authorized_official_first_name": "KALISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-891-6500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.