NPIMap

Organization Active NPI

Cleveland Surgical Associates, Inc.

  • Nurse Practitioner
  • North Royalton, OH
National Provider Identifier
1831140003
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CLEVELAND SURGICAL ASSOCIATES, INC.
Practice address
12301 Ridge Rd
North Royalton, OH 44133-3744
Phone
(440) 652-8748
Fax
(440) 582-3171
NPI assigned
May 13, 2006
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Matthew Legowski
Title
Evp Operations
Phone
(609) 703-5097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

12301 Ridge Rd
North Royalton, OH 44133-3744

Mailing address

12301 Ridge Rd
North Royalton, OH 44133-3744
Phone (440) 652-8748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060817000037 OH Part B Supplier - Clinic/Group Practice 3577566371 Receives reassigned benefits from 46 practitioners
Practice locations: North Royalton, OH

National Provider Directory

National Provider Directory

Locations

1275 W Exchange St
Akron, OH 44313
Phone (330) 867-2150

14095 E Center St
Burton, OH 44021
Phone (440) 834-1084

6770 Mayfield Rd
Ste 320
Mayfield Heights, OH 44124
Phone (216) 896-0755

2594 E High Ave
New Philadelphia, OH 44663
Phone (330) 339-3595

1515 Brookstone Blvd
Painesville, OH 44077
Phone (440) 226-8869

51 E 4th St
The Plains, OH 45780
Phone (740) 797-4561

36001 Euclid Ave
Ste C
Willoughby, OH 44094

36001 Euclid Ave
Ste C2
Willoughby, OH 44094
Phone (440) 946-3040

Practitioners & affiliated clinicians

Practitioners 49

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.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1831140003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 RIDGE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333744",
            "telephone_number": "440-652-8748",
            "fax_number": "440-582-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 RIDGE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333744",
            "telephone_number": "440-652-8748",
            "fax_number": "440-582-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "LEGOWSKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EVP OPERATIONS",
        "authorized_official_telephone_number": "609-703-5097"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.