Marietta Surgery Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1081684 Issued in OH

Legal business name

MARIETTA SURGERY CENTER

Practice address

611 Second Street
Marietta, OH 45750

Phone

(740) 374-8596

Fax

(740) 374-9087

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shirley A Thomas

Title

RN Administrator

Phone

(740) 374-8596

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• First Settlement Orthopaedic Institute Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Marietta Surgery CenterCCN 36C0001144

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Marietta Memorial Hospital

  • Rural Health Clinic/Center
  • Woodsfield, OH
  • NPI 1962106328

  Member Of

  NPD member

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• First Settlement Orthopaedics Inc

  • Orthopaedic Surgery Physician
  • Marietta, OH
  • NPI 1215992458

  Member Of

  NPD member
• First Settlement Orthopaedics Inc

  • Orthopaedic Surgery Physician
  • New Martinsville, WV
  • NPI 1033366265

  Member Of

  NPD member

Locations

Practitioners 2

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

• Anastasios George Pantelidis, M.D.

  • Anesthesiology Physician
  • Parkersburg, WV
  • NPI 1811984354
  NPD
• Jason Lee Gessel, D.O.

  • Orthopaedic Surgery Physician
  • Marietta, OH
  • NPI 1861672669
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780649269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 SECOND STREET",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "45750",
            "telephone_number": "740-374-8596",
            "fax_number": "740-374-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 SECOND STREET",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "45750",
            "telephone_number": "740-374-8596",
            "fax_number": "740-374-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RN ADMINISTRATOR",
        "authorized_official_telephone_number": "740-374-8596",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "1081684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2192630",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1802153000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Settlement Orthopaedic Institute",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Marietta Occupational Health Partners
• Marietta Opco, LLC
• Marietta Ophthalmology Associates Inc
• Marietta Pain Services, LLC
• Marietta SNF Healthcare LLC
• Marietta Therapy Associates
• Brittany Rae Marlow, NP
• Kenneth Alan Martin, DO
• Melissa Ann Martin, CDCA
• Laura Marie Martinez, CRNA

• Clinic/Center in Marietta, OH
• Providers in Marietta, OH by specialty
• Clinic/Center in Ohio

• 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.
• 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.