LORAIN SURGERY CENTER, LLC (NPI# 1649250218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649250218 |
| Entity Type | Organization |
| Organization Name | LORAIN SURGERY CENTER, LLC |
| Practice Address |
4804 Leavitt Rd Ste B Lorain OH 44053-2139 |
| Practice Telephone | 4402450016 |
| Practice Fax Number | 4409891335 |
| Mailing Telephone | 4402450016 |
| Mailing Fax Number | 4409891335 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LAUREN SIKORA (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4402450016 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0761AS | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA | 7880730 | 01 |
| OH | ANTHEM | 3798527 | 01 |
| OH | 2599719 | 05 | |
| OH | RAILROAD MEDICARE | 0255961 | 01 |
| Street Address |
4804 LEAVITT RD STE B |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264179 | Bharat C. Shah | Specialist | 4804 Leavitt Rd, Suite A, Lorain, OH 44053-2139 | 2005-06-10 |
| 1205090164 | Vanessa R Kabat | Physician Assistant | 4804 Leavitt Rd, Lorain, OH 44053-2139 | 2008-07-10 |
| 1407034655 | Outreach Professional Services Inc. | Neurological Surgery | 4804 Leavitt Rd, Lorain, OH 44053-2139 | 2008-02-08 |
| 1982892493 | Girgis Emil Girgis | Anesthesiology | 4804 Leavitt Rd, Suite A, Lorain, OH 44053-2139 | 2007-10-10 |
| 1013092147 | Sameh R Yonan | Anesthesiology | 4804 Leavitt Rd, Lorain, OH 44053-2382 | 2006-10-26 |
| 1124095112 | Comprehensive Pain Care Center, Inc | Specialist | 4804 Leavitt Rd, Ste A, Lorain, OH 44053-2139 | 2006-03-08 |
| 1245218775 | Osama A Malak | Specialist | 4804 Leavitt Rd, Lorain, OH 44053-2382 | 2006-01-04 |
| 1235116906 | Terrence M Olitsky | Physician Assistant | 4804 Leavitt Rd, Ste A, Lorain, OH 44053-2139 | 2005-12-23 |
| 1194729749 | Samuel C Lofton IIi | Physician Assistant | 4804 Leavitt Rd, Lorain, OH 44053-2139 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942280870 | Lorain Asc Lp | Clinic/Center | 3600 Kolbe Rd, Suite 019, Lorain, OH 44053-1654 | 2006-01-18 |
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| 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 |
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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.