Active NPI
Northern Ohio Surgical Center
- Ambulatory Surgical Clinic/Center
- Sandusky, OH
National Provider Identifier
1811983364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0628AS
- Legal business name
- NORTHERN OHIO SURGICAL CENTER
- Practice address
- 2800 Hayes Ave
Sandusky, OH 44870-7248 - Phone
- (419) 627-8557
- Fax
- (419) 627-8559
- NPI assigned
- Sep 21, 2005
- 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
- Ms. Carol Guerra
- Title
- Administrator
- Phone
- (419) 627-8557
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0628AS | OH | Primary |
Addresses
Primary practice location
2800 Hayes Ave
Sandusky, OH 44870-7248
Mailing address
2800 Hayes Ave
Sandusky, OH 44870-7248
Phone (419) 627-8557
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2215757 | Medicaid | OH | |
| 000000227672 | Other | OH | ANTHEM |
National Provider Directory
National Provider DirectoryLocations
2800 Hayes Ave
Sandusky, OH 44870
Phone (419) 626-6891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1811983364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 HAYES AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448707248",
"telephone_number": "419-627-8557",
"fax_number": "419-627-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 HAYES AVE",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448707248",
"telephone_number": "419-627-8557",
"fax_number": "419-627-8559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHERN OHIO SURGICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GUERRA",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "419-627-8557",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OH",
"license": "0628AS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2215757",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000227672",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, OH
- Northern Ohio Medical Specialists, LLC (NOMS Urgent Care)
- Northern Ohio Medical Specialists, LLC
- Northern Ohio Medical Specialists, LLC
- Northern Ohio Medical Specialists,LLC
- Northern Ohio Psychological Services, Inc.
- Amanda Notestine, M.A. CCC-SLP
- Dale Carl Novak I, O.D.
- Christine Annehope Nowak Lange, LPN
- Kristen Nowak, ED.S.
- Brandy Nuhfer
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.