WILLOUGHBY ASC LLC (NPI# 1245202472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245202472 |
| Entity Type | Organization |
| Organization Name | WILLOUGHBY ASC LLC |
| Other Organization Name | CDH ENDOSCOPY CENTER |
| Practice Address |
34940 Ridge Rd Suite B Willoughby OH 44094-4196 |
| Practice Telephone | 4409538568 |
| Practice Fax Number | 4409534429 |
| Mailing Telephone | 4409538568 |
| Mailing Fax Number | 4409534429 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-03-15 |
| Authorized Official Name | PHILLIP A. CLENDENIN (PRESIDENT) |
| Authorized Official Telephone | 6156651283 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0389AS | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2039645 | 05 |
| Other Name | Type Code |
|---|---|
| CDH Endoscopy Center | Doing Business As Name - Organization |
| Street Address |
34940 RIDGE RD SUITE B |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-4196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619978343 | Nicholas Charles Golden | Legal Medicine | 34940 Ridge Rd, Suite B, Willoughby, OH 44094-4196 | 2005-08-03 |
| 1992218671 | Richard C. Flores, Dds, LLC | Clinic/Center | 34940 Ridge Rd, Willoughby, OH 44094-4196 | 2017-11-16 |
| 1548508872 | Amsurg Willoughby Anesthesia LLC | Nurse Anesthetist, Certified Registered | 34940 Ridge Rd, Willoughby, OH 44094-4196 | 2013-01-22 |
| 1194054676 | Tatyana Alex Fernand | Nurse Practitioner | 34940 Ridge Rd, Suite B, Willoughby, OH 44094-4196 | 2009-12-13 |
| 1932184165 | Center for Digestive Health Inc | Internal Medicine | 34940 Ridge Rd, Ste B, Willoughby, OH 44094-4196 | 2005-12-09 |
| 1124012547 | Neil A Jacobson | Internal Medicine | 34940 Ridge Rd, Ste B, Willoughby, OH 44094-4196 | 2005-08-31 |
| 1912991316 | James P Loveland | Internal Medicine | 34940 Ridge Rd, Ste B, Willoughby, OH 44094-4196 | 2005-08-31 |
| 1770577199 | Franjo Vladic | Internal Medicine | 34940 Ridge Rd, Ste B, Willoughby, OH 44094-4196 | 2005-08-31 |
| 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 |
|---|---|---|---|---|
| 1255503553 | Willoughby Surgery Center, LLC | Clinic/Center | 6025 Commerce Cir, Suite 1, Willoughby, OH 44094-9668 | 2008-03-26 |
| 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 | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
Please comment or provide details below to improve the information on WILLOUGHBY ASC 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.