Geauga Surgical Associates Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

GEAUGA SURGICAL ASSOCIATES INC

Practice address

13170 Ravenna Road
Suite 202
Chardon, OH 44024

Phone

(440) 286-2121

Fax

(440) 286-9204

NPI assigned

Sep 29, 2006

Last updated

Jul 6, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Anthony Diblasio, MDNPI 1972670107

Title

Owner General Surgeon

Phone

(440) 286-2121

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Joseph DiBlasio MD Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph A. Diblasio, M.D.

  • Surgery Physician
  • Chardon, OH
  • NPI 1972670107
  Authorized official Same address or phone

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1780776278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13170 RAVENNA ROAD",
            "address_2": "SUITE 202",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "44024",
            "telephone_number": "440-286-2121",
            "fax_number": "440-286-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13170 RAVENNA ROAD",
            "address_2": "SUITE 202",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "44024",
            "telephone_number": "440-286-2121",
            "fax_number": "440-286-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEAUGA SURGICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "DIBLASIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER GENERAL SURGEON",
        "authorized_official_telephone_number": "440-286-2121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2266640",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph DiBlasio MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Geauga Family Physicians, Inc
• Geauga Medical Therapy Center LLC
• Geauga Rehabilitation Engineering, Inc.
• Geauga Sleep Center
• Geauga Sports Medicine, LLC
• Katherine E Gehlfuss, LPC,CDCA
• Nicholas Gehrke, MD
• Genesis Healthcare
• Geneva/Madison Sleep Center
• Genoa Healthcare LLC

• Surgery Physician in Chardon, OH
• Providers in Chardon, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.