WILLOUGHBY SURGERY CENTER, LLC (NPI# 1255503553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255503553 |
| Entity Type | Organization |
| Organization Name | WILLOUGHBY SURGERY CENTER, LLC |
| Practice Address |
6025 Commerce Cir Suite 1 Willoughby OH 44094-9668 |
| Practice Telephone | 4405852750 |
| Practice Fax Number | 4409440868 |
| Mailing Telephone | 4405852750 |
| Mailing Fax Number | 4409440868 |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2013-02-20 |
| Authorized Official Name | DAVID A DEMANGONE (OWNER) |
| Authorized Official Telephone | 4409441414 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3137920 | 05 | |
| OH | RAILROAD MEDICARE | P00829745 | 01 |
| Street Address |
6025 COMMERCE CIR SUITE 1 |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548225832 | David Anthony Demangone | Pain Medicine | 6025 Commerce Cir, #2, Willoughby, OH 44094-9668 | 2006-04-19 |
| 1821654948 | David A. Demangone LLC | Durable Medical Equipment & Medical Supplies | 6025 Commerce Cir, Willoughby, OH 44094-9694 | 2019-05-14 |
| 1922270495 | Ambulatory Anesthesia Services, LLC | Anesthesiology | 6025 Commerce Cir, Suite 2, Willoughby, OH 44094-9668 | 2008-03-25 |
| 1780772079 | Pain Management Association, LLC | Pain Medicine | 6025 Commerce Cir, #2, Willoughby, OH 44094-9668 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245202472 | Willoughby Asc LLC | Clinic/Center | 34940 Ridge Rd, Suite B, Willoughby, OH 44094-4196 | 2006-02-02 |
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| 1902431646 | Central Ohio Endoscopy Center, LLC | Clinic/Center | 430 Altair Pkwy Ste 120, Westerville, OH 43082-7647 | 2020-03-03 |
| 1568094399 | The Surgery Center of Southwest Ohio, LLC | Clinic/Center | 2210 Arbor Blvd Ste 100, Moraine, OH 45439-1506 | 2020-02-10 |
| 1013565175 | David B Schwartz Md, LLC | Clinic/Center | 2123 Auburn Ave Ste 320, Cincinnati, OH 45219-2906 | 2019-08-30 |
| 1801457478 | Dialysis Access Center, LLC | Clinic/Center | 8423 Market St Ste 210, Boardman, OH 44512-6778 | 2019-06-25 |
| 1750948873 | Erie Shores Surgery Center LLC | Clinic/Center | 2800 Hayes Ave Bldg E, Sandusky, OH 44870-7255 | 2019-05-23 |
| Find all providers with the same taxonomy | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
Please comment or provide details below to improve the information on WILLOUGHBY SURGERY CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.