Organization Active NPI

Perimeter Surgical Center Inc

  • Ambulatory Surgical Clinic/Center
  • Dublin, OH
National Provider Identifier
1902095417
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Samuel A Gallo, M.D.NPI 1609801489
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 CenterCCN 36C0001236
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1072618Perimeter Surgical Center Inc6620 Perimeter Drive Suite 100B, Dublin, OH 43016Certificate of waiverAug 20, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.