Organization Active NPI

Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Cleveland, OH
National Provider Identifier
1821095910
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0041AS Issued in OH
Legal business name
SURGERY CENTER
Practice address
19250 Bagley Rd
Cleveland, OH 44130-3314
Phone
(440) 826-3240
Fax
(440) 816-0273
NPI assigned
Jul 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Mrs. Barbara Draves
Title
Administrator
Phone
(440) 826-3240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0041AS OH Primary

Addresses

Primary practice location

19250 Bagley Rd
Cleveland, OH 44130-3314

Mailing address

19250 Bagley Rd
Cleveland, OH 44130-3314
Phone (440) 826-3240

Other identifiers 6

IdentifierTypeStateIssuer
000000157345OtherOHANTHEM
6800051OtherOHUNITED HEALTHCARE
6800051OtherOHUHC MEDICRE COMPLETE
0584318MedicaidOH
1411062OtherOHUNITED MINEWORKERS
000000157345OtherOHANTHEM SENIOR ADVANTAGE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1821095910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19250 BAGLEY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303314",
            "telephone_number": "440-826-3240",
            "fax_number": "440-816-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19250 BAGLEY RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303314",
            "telephone_number": "440-826-3240",
            "fax_number": "440-816-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "DRAVES",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-826-3240",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0041AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000157345",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6800051",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC MEDICRE COMPLETE",
            "identifier": "6800051",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0584318",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINEWORKERS",
            "identifier": "1411062",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM SENIOR ADVANTAGE",
            "identifier": "000000157345",
            "state": "OH"
        }
    ],
    "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 Sep 27, 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.