Beaver Valley Ambulatory Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BEAVER VALLEY AMBULATORY SURGERY CENTER, LLC

Practice address

79 Wagner Rd Ste 101
Monaca, PA 15061-2338

Phone

(724) 624-9901

Fax

(724) 773-5599

NPI assigned

Mar 18, 2019

Organization subpart

No

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

Authorized official

Name

Cheryl Sudar

Title

Executive Director

Phone

(724) 624-9901

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Beaver Valley Ambulatory Surgery Center LLCCCN 39C0001351

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Valley Medical Facilities, Inc.

  • Psychiatric Hospital Unit
  • Beaver, PA
  • NPI 1134130289

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1841759040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 E PITTSBURGH ST STE 103",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012678",
            "telephone_number": "412-346-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WAGNER RD STE 101",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612338",
            "telephone_number": "724-624-9901",
            "fax_number": "724-773-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER VALLEY AMBULATORY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "SUDAR",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-624-9901"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ijohnosn@msihcare.com",
            "affiliation": "N",
            "endpointDescription": "Irene Johnson",
            "address_1": "79 WAGNER ROAD",
            "address_2": "SUITE 101",
            "city": "MONACA",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150612489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Barrett
• Regine Lydie Bataille-Gossard, OD
• Beaver County Career and Technology Center
• Beaver County Regenerative Wellness Centers PC
• Beaver County Spinal Disc Center
• Beaver Valley Intermediate Unit # 27
• Beaver Valley Iu 27
• Beaver Valley Iu 27
• Ashley Lynn Bell, PA-C
• Jesse Tyler Bender, OTR/L

• Ambulatory Surgical Clinic/Center in Monaca, PA
• Providers in Monaca, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.