Organization Active NPI

Northwest Ohio Surgical Centers, Inc

  • Ambulatory Surgical Clinic/Center
  • Sylvania, OH
National Provider Identifier
1952724940
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
16634 Issued in OH
Legal business name
NORTHWEST OHIO SURGICAL CENTERS, INC
Practice address
5688 Monroe St
Sylvania, OH 43560-2736
Phone
(419) 517-4404
NPI assigned
Jan 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Dr. Stephen Shall
Title
President/Oral Surgeon
Phone
(419) 517-4404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 16634 OH Primary

Addresses

Primary practice location

5688 Monroe St
Sylvania, OH 43560-2736

Mailing address

5688 Monroe St
Sylvania, OH 43560-2736
Phone (419) 517-4404

National Provider Directory

National Provider Directory

Locations

5688 Monroe St
Sylvania, OH 43560
Phone (419) 517-4404

NPI Registry JSON

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1952724940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5688 MONROE ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602736",
            "telephone_number": "419-517-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5688 MONROE ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602736",
            "telephone_number": "419-517-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OHIO SURGICAL CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "SHALL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT/ORAL SURGEON",
        "authorized_official_telephone_number": "419-517-4404",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "16634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.