Shaker Heights Surgical Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0571AS Issued in OH

Legal business name

SHAKER HEIGHTS SURGICAL CENTER, LLC

Practice address

3535 Lee Rd
Shaker Heights, OH 44120-5122

Phone

(561) 368-7118

Fax

(561) 368-7116

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Chris Liva

Title

MBR

Phone

(954) 732-3800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1962663641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441205122",
            "telephone_number": "561-368-7118",
            "fax_number": "561-368-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAKER HEIGHTS SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LIVA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "954-732-3800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0571AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Shaker Heights, OH
• Providers in Shaker Heights, 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 Jun 24, 2008; 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.