Revision Advanced Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0642AS Issued in OH

Legal business name

REVISION ADVANCED SURGERY CENTER INC

Practice address

1080 Polaris Pkwy
Columbus, OH 43240-6035

Phone

(800) 475-2113

Fax

(614) 781-1974

NPI assigned

Jul 21, 2010

Organization subpart

Yes

Parent organization

REVISION ADVANCED SURGERY CENTERAs reported in NPPES

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

Authorized official

Name

Douglas James Schumer, MDNPI 1205838943

Title

President

Phone

(419) 525-3737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Revision Advanced Surgery Center IncCCN 36C0001219

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

Part of

Revision Advanced Surgery Center Inc

Locations

Practitioners 1

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

• Douglas James Schumer, M.D.

  • Corneal and Contact Management Optometrist
  • Mansfield, OH
  • NPI 1205838943
  NPD Authorized official

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1992018790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 POLARIS PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432406035",
            "telephone_number": "800-475-2113",
            "fax_number": "614-781-1974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 POLARIS PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432406035",
            "telephone_number": "800-475-2113",
            "fax_number": "614-781-1974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVISION ADVANCED SURGERY CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REVISION ADVANCED SURGERY CENTER",
        "enumeration_date": "2010-07-21",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "SCHUMER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-525-3737",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0642AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William George Reuter, DDS
• Benjamin Revell
• Alberto Enrique Revelo, M.D.
• Celena Lenette Revels-Jones
• Courtney Revels-Turner
• Revision Technologies, Inc.
• Revolution Performance, LLC
• Abigail Rex, MD
• Andrea R Rex, CPHT
• Elisandra Reyes-Perez, DDS

• Ambulatory Surgical Clinic/Center in Columbus, OH
• Providers in Columbus, 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 Oct 23, 2014; 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.