Lorain ASC LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0387AS Issued in OH

Legal business name

LORAIN ASC LP

Doing business as

Erie Shores Endoscopy Center

Practice address

3600 Kolbe Rd
Suite 019
Lorain, OH 44053-1654

Phone

(440) 960-7277

Fax

(440) 960-7278

NPI assigned

Jan 18, 2006

Last updated

Sep 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Billie Payne

Title

President

Phone

(615) 665-1283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Erie Shores Endoscopy Center Doing business as

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1942280870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD",
            "address_2": "SUITE 019",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531654",
            "telephone_number": "440-960-7277",
            "fax_number": "440-960-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD",
            "address_2": "SUITE 019",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531654",
            "telephone_number": "440-960-7277",
            "fax_number": "440-960-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORAIN ASC LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0387AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2041249",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erie Shores Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Lopez
• Susan Lynn Lopez
• Teresa Lopez
• Anthony Lora, DMD
• Lorain ASC LP (Erie Shores Endoscopy Center)
• Lorain Bilingual Preparatory Academy
• Lorain Chiropractic Center Inc
• Lorain City Health Department
• Lorain City School District
• Lorain County Alcohol & Drug Abuse Services, Inc.

• Ambulatory Surgical Clinic/Center in Lorain, OH
• Providers in Lorain, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.