Active NPI
Urology Office Surgical Service, LLC
- Clinic/Center
- Cleveland, OH
National Provider Identifier
1750616736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.