Vertrae Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VERTRAE SURGERY CENTER, LLC

Practice address

4501 Lyons Rd
Miamisburg, OH 45342-6444

Phone

(844) 255-2225

Fax

(833) 314-0504

NPI assigned

May 24, 2023

Organization subpart

No

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

Authorized official

Name

Kamal Woods, MDNPI 1871706473

Title

President

Phone

(844) 255-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Ambulatory surgical center certification: CCN 36C0001357

Legal name

Vertrae Surgery Center LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Apr 17, 2024

Last certification

Mar 26, 2024

Ownership / control type

Proprietary

Facility address

4501 Lyons Road
Miamisburg, OH 45342

Member of 1

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

• Vertrae, Inc.

  • Neurological Surgery Physician
  • Miamisburg, OH
  • NPI 1972118420

  Member Of

  NPD member

Locations

Practitioners 1

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

• Kamal Ronald Woods, M.D.

  • Neurological Surgery Physician
  • Miamisburg, OH
  • NPI 1871706473
  NPD Authorized official

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1831881135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 LYONS RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426444",
            "telephone_number": "844-255-2225",
            "fax_number": "833-314-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 LYONS RD",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426444",
            "telephone_number": "844-255-2225",
            "fax_number": "833-314-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTRAE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-255-2225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mollie Anne Vandam, FNP-C
• Deeana Vanostran
• Cherise Ann Varner, FAMILY NP-C
• Alice Maria Varughese, MD
• Anna L. Verschoore, MSW, LISW
• Vertrae, Inc.
• Hannah Elizabeth Village, MT-BC, RBT
• Robert S Vincent
• Virtus Ohio Pharmacy LLC
• Sara Vonweller, RBT

• Ambulatory Surgical Clinic/Center in Miamisburg, OH
• Providers in Miamisburg, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.