Surgery Center of North Central Ohio LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF NORTH CENTRAL OHIO LLC

Doing business as

The Surgery Center of North Central Ohio

Practice address

1 Emerald Pkwy
Norwalk, OH 44857-2671

Phone

(419) 577-0095

Fax

(419) 577-8858

NPI assigned

Aug 17, 2020

Organization subpart

No

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

Authorized official

Name

William Gavigan

Title

Member Manager

Phone

(615) 397-9187

Specialties & licenses 1

Addresses

Other names 1

• The Surgery Center of North Central Ohio Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

The Surgery Center of North Central OhioCCN 36C0001333

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fisher-Titus Medical Center

  • Skilled Nursing Facility
  • Norwalk, OH
  • NPI 1780602193

  Member Of

  NPD member

Locations

Practitioners 1

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

• Michael T Powers, D.O.

  • Orthopaedic Surgery Physician
  • Norwalk, OH
  • NPI 1134150329
  NPD (past)

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1952912552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMERALD PKWY",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572671",
            "telephone_number": "419-577-0095",
            "fax_number": "419-577-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EMERALD PKWY",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572671",
            "telephone_number": "419-577-0095",
            "fax_number": "419-577-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF NORTH CENTRAL OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-17",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "GAVIGAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "615-397-9187"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Surgery Center of North Central Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth J Striegl, AU.D.
• Carly Stringer, CAA
• Jason Patrick Strong, P.T., D.P.T.
• Chrystyna Marie Stumpf
• Kara B Supina
• Jonathan Suter
• Seifeddine Mohamad Tajour, D.D.S
• Erica Taylor
• Timothy Thomas, MD
• Jacqueline Sue Thompson

• Ambulatory Surgical Clinic/Center in Norwalk, OH
• Providers in Norwalk, 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 Feb 4, 2021; 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.