Active NPI
Surgical Associates of Medina
- Surgical Technologist
- Brunswick, OH
National Provider Identifier
1760518112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- Legal business name
- SURGICAL ASSOCIATES OF MEDINA
- Practice address
- 3724 Center Rd
Suite 103
Brunswick, OH 44212-4400 - Phone
- (330) 273-4443
- Fax
- (330) 273-4443
- NPI assigned
- Feb 27, 2007
- 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
- Thomas Dennis Bica, M.D.
- Title
- President
- Phone
- (330) 722-3083
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | Primary |
Addresses
Primary practice location
3724 Center Rd
Suite 103
Brunswick, OH 44212-4400
Mailing address
970 E Washington St
Suite 6-C
Medina, OH 44256-3332
Phone (330) 722-3083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0723168 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Surgical Associates of Medina
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Surgical Technologist
- Ashland, OH
- NPI 1427184886
-
- Surgical Technologist
- Wadsworth, OH
- NPI 1942336300
Locations
3724 Center Rd
Ste 103
Brunswick, OH 44212
Phone (330) 273-4443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760518112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 E WASHINGTON ST",
"address_2": "SUITE 6-C",
"city": "MEDINA",
"state": "OH",
"postal_code": "442563332",
"telephone_number": "330-722-3083",
"fax_number": "330-725-5043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 CENTER RD",
"address_2": "SUITE 103",
"city": "BRUNSWICK",
"state": "OH",
"postal_code": "442124400",
"telephone_number": "330-273-4443",
"fax_number": "330-273-4443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL ASSOCIATES OF MEDINA",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BICA",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "DENNIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-722-3083",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0723168",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.