Active NPI
Perimeter Surgical Center Inc
- Ambulatory Surgical Clinic/Center
- Dublin, OH
National Provider Identifier
1902095417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- PERIMETER SURGICAL CENTER INC
- Practice address
- 6620 Perimeter Dr
Suite 100B
Dublin, OH 43016-8055 - Phone
- (614) 766-5438
- Fax
- (614) 408-8269
- NPI assigned
- Oct 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel A Gallo, M.D.
- Title
- Owner/Physician
- Phone
- (614) 766-5438
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | OH | Primary |
Addresses
Primary practice location
6620 Perimeter Dr
Suite 100B
Dublin, OH 43016-8055
Mailing address
6620 Perimeter Dr
Suite 100B
Dublin, OH 43016-8055
Phone (614) 766-5438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080623000015 | OH | Part B Supplier - Ambulatory Surgical Center | 4789755539 | Practice locations: Dublin, OH |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Perimeter Surgical Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1072618 | Perimeter Surgical Center Inc | Certificate of waiver | Aug 20, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Dublin, OH
- NPI 1609801489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1902095417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6620 PERIMETER DR",
"address_2": "SUITE 100B",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430168055",
"telephone_number": "614-766-5438",
"fax_number": "614-408-8269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6620 PERIMETER DR",
"address_2": "SUITE 100B",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430168055",
"telephone_number": "614-766-5438",
"fax_number": "614-408-8269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERIMETER SURGICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-21",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "GALLO",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "614-766-5438",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.