Organization Active NPI

Ohio Care Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Maumee, OH
National Provider Identifier
1922068527
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0533AS Issued in OH
Legal business name
OHIO CARE AMBULATORY SURGERY CENTER
Practice address
5959 Monclova Rd
Maumee, OH 43537
Phone
(419) 897-5501
Fax
(419) 897-5502
NPI assigned
Mar 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kimberly Coakley Andry, RT R CASC
Title
Business MGR
Phone
(419) 897-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0533AS OH Primary

Addresses

Primary practice location

5959 Monclova Rd
Maumee, OH 43537

Mailing address

5959 Monclova Rd
Maumee, OH 43537
Phone (419) 897-5501

Other identifiers 1

IdentifierTypeStateIssuer
2127442MedicaidOH

Other names 1

  • Surgi & Care Doing business as

National Provider Directory

National Provider Directory

Locations

5969 Monclova Rd
Maumee, OH 43537
Phone (419) 897-5501

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922068527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-897-5501",
            "fax_number": "419-897-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-897-5501",
            "fax_number": "419-897-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO CARE AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDRY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "COAKLEY",
        "authorized_official_title_or_position": "BUSINESS MGR",
        "authorized_official_telephone_number": "419-897-5501",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RT R CASC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0533AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2127442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgi & Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.