Organization Active NPI

North Ohio Surgery, Inc.

  • Surgery Physician
  • Elyria, OH
National Provider Identifier
1972601474
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NORTH OHIO SURGERY, INC.
Practice address
210 E Broad St
Elyria, OH 44035-6431
Phone
(440) 322-4510
Fax
(440) 322-4991
NPI assigned
Sep 20, 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
Mr. Lawrence Harkenrider
Title
Practice Administrator
Phone
(440) 322-4510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

210 E Broad St
Elyria, OH 44035-6431

Mailing address

210 E Broad St
Elyria, OH 44035-6431
Phone (440) 322-4510

Other identifiers 1

IdentifierTypeStateIssuer
2521293MedicaidOH

National Provider Directory

National Provider Directory

Locations

436 E River St
Ste 4
Elyria, OH 44035
Phone (440) 322-4510

210 E Broad St
Elyria, OH 44035
Phone (440) 322-4510

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972601474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356431",
            "telephone_number": "440-322-4510",
            "fax_number": "440-322-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356431",
            "telephone_number": "440-322-4510",
            "fax_number": "440-322-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OHIO SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARKENRIDER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "440-322-4510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2521293",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, 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.