PREMIUM SURGERY CENTER LLC (NPI# 1588633184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588633184 |
| Entity Type | Organization |
| Organization Name | PREMIUM SURGERY CENTER LLC |
| Other Organization Name | MERCY PREMIUM SURGERY CENTER |
| Practice Address |
5319 Hoag Dr Elyria OH 44035 |
| Practice Telephone | 4409306042 |
| Practice Fax Number | 4409306105 |
| Mailing Telephone | 4409306042 |
| Mailing Fax Number | 4409306105 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2019-04-18 |
| Authorized Official Name | MS. ROSE M BEE (TITLE ADMIN) |
| Authorized Official Telephone | 4409375851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0572AS | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD | 000000338767 | 01 | |
| OH | 2213107 | 05 | |
| RR MEDICARE | P00124229 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Premium Surgery Center | Doing Business As Name - Organization |
| Street Address |
5319 HOAG DR |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174572606 | North Coast Surgery Center, LLC | Clinic/Center | 1170 E Broad St, Suite 104, Elyria, OH 44035-6351 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492170 | Mercy Health Boardman Surgery | Clinic/Center | 4147 Westford Pl, Canfield, OH 44406-8086 | 2020-09-21 |
| 1851904445 | The Good Samaritan Hospital of Cincinnati, Ohio | Clinic/Center | 538 Oak St Ste 100, Cincinnati, OH 45219-2554 | 2020-08-25 |
| 1952912552 | The Surgery Center of North Central Ohio LLC | Clinic/Center | 1 Emerald Pkwy, Norwalk, OH 44857-2671 | 2020-08-17 |
| 1295344026 | West Chester Surgical Suites, LLC | Clinic/Center | 8742-8744 Union Centre Blvd, West Chester, OH 45069-4876 | 2020-07-28 |
| 1194341768 | Wellington Specialty Surgery Center, LLC | Clinic/Center | 4355 Ferguson Dr Ste 190, Cincinnati, OH 45245-5137 | 2020-06-19 |
| 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 | ||||
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| 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.