Organization Active NPI

Wheeling Hospital Ambulatory Surgery Center LLC

Doing business as Anesthesia Department

  • Certified Registered Nurse Anesthetist
  • Bridgeport, OH
National Provider Identifier
1851949465
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
WHEELING HOSPITAL AMBULATORY SURGERY CENTER LLC
Doing business as
Anesthesia Department
Wheeling Hospital Ambulatory Surgery Center LLC Anesthesia Dept.
Practice address
68 State Route 7
Bridgeport, OH 43912-1642
Phone
(740) 676-6600
NPI assigned
Aug 27, 2019
Last updated
Aug 27, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
WHEELING HOSPITAL AMBULATORY SURGERY CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Janice Elaine Riesmeyer
Title
Credentialing Coordinator
Phone
(304) 243-3124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

68 State Route 7
Bridgeport, OH 43912-1642

Mailing address

1 Medical Park
Business Office - NTTC
Wheeling, WV 26003-6379
Phone (304) 243-3124

Other names 2

  • Anesthesia Department Doing business as
  • Wheeling Hospital Ambulatory Surgery Center LLC Anesthesia Dept. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040204000220 OH Part B Supplier - Clinic/Group Practice 5799689493 Receives reassigned benefits from 95 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Clairsville, OH; Steubenville, OH; Shadyside, OH; Martins Ferry, OH; Dillonvale, OH; Cadiz, OH; Bridgeport, OH; Bellaire, OH…
O20200127001530 OH Part B Supplier - Clinic/Group Practice 8123354743 Receives reassigned benefits from 32 practitioners
Practice locations: Bridgeport, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Wheeling Hospital Ambulatory Surgery Center LLC2 organizations share this tax ID, including this one
Part of
Wheeling Hospital Ambulatory Surgery Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1851949465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK",
            "address_2": "BUSINESS OFFICE - NTTC",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036379",
            "telephone_number": "304-243-3124",
            "fax_number": "304-243-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 STATE ROUTE 7",
            "city": "BRIDGEPORT",
            "state": "OH",
            "postal_code": "439121642",
            "telephone_number": "740-676-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELING HOSPITAL AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WHEELING HOSPITAL AMBULATORY SURGERY CENTER LLC",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "RIESMEYER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "304-243-3124"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anesthesia Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wheeling Hospital Ambulatory Surgery Center LLC Anesthesia Dept.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.