NPIMap

Organization Active NPI

Surgery Center of Sandusky LLC

Doing business as Surgery Center of Sandusky

  • Certified Registered Nurse Anesthetist
  • Sandusky, OH
National Provider Identifier
1891883096
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0508AS Issued in OH
Legal business name
SURGERY CENTER OF SANDUSKY LLC
Doing business as
Surgery Center of Sandusky
Practice address
2616 Hayes Ave
Sandusky, OH 44870-5311
Phone
(419) 626-2800
Fax
(419) 626-2820
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Deborah Haner
Title
Credentialing Manager
Phone
(269) 207-7924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X 0508AS OH Primary

Addresses

Primary practice location

2616 Hayes Ave
Sandusky, OH 44870-5311

Mailing address

2616 Hayes Ave
Sandusky, OH 44870-5311
Phone (419) 626-2800

Other names 1

  • Surgery Center of Sandusky Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070118000339 OH Part B Supplier - Clinic/Group Practice 6901807957 Receives reassigned benefits from 6 practitioners
Practice locations: Sandusky, OH

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Locations

1 Village Center Dr
Bldg 4
Van Buren Township, MI 48111

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1891883096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705311",
            "telephone_number": "419-626-2800",
            "fax_number": "419-626-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 HAYES AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705311",
            "telephone_number": "419-626-2800",
            "fax_number": "419-626-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF SANDUSKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "HANER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "269-207-7924"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "0508AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of Sandusky",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surgery Center of Sandusky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; 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.