SOUTHEAST OHIO SURGICAL SUITES, LLC (NPI# 1700269354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700269354 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST OHIO SURGICAL SUITES, LLC |
| Practice Address |
20 University Estates Blvd Suite 110 Athens OH 45701-2869 |
| Practice Telephone | 7408569044 |
| Mailing Telephone | 7405897710 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2016-03-15 |
| Authorized Official Name | ANGELA SHUST (ADMINISTRATOR) |
| Authorized Official Telephone | 7405897710 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
1131AS | OH | Ambulatory Health Care Facilities |
| Street Address |
20 UNIVERSITY ESTATES BLVD SUITE 110 |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-2869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821254095 | Jason Allan Reed | Orthopaedic Surgery | 20 University Estates Blvd, Suite 100, Athens, OH 45701-2838 | 2008-08-06 |
| 1477038008 | Morgan Houtz | Physical Therapy Assistant | 20 University Estates Blvd, Athens, OH 45701-2838 | 2018-09-29 |
| 1609239730 | Ashley White | Physical Therapy Assistant | 20 University Estates Blvd, Suite 120, Athens, OH 45701-2838 | 2016-04-05 |
| 1508228123 | Joint Implant Surgeons, Inc | Orthopaedic Surgery | 20 University Estates Blvd, Suite 100, Athens, OH 45701-2838 | 2016-03-23 |
| 1467813063 | Brian Heath Mckinney | Physical Therapy Assistant | 20 University Estates Blvd, Athens, OH 45701-2838 | 2016-03-10 |
| 1588024269 | Bethany Kasler | Physical Therapy Assistant | 20 University Estates Blvd, Suite 120, Athens, OH 45701-2838 | 2016-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602683 | Georgia Eye Surgery LLC | Clinic/Center | 1620 Prince Ave Ste B, Athens, GA 30606-6008 | 2020-06-05 |
| 1649790171 | Athens Spine Procedural Center LLC | Clinic/Center | 1550 Timothy Rd Ste 103, Athens, GA 30606-7836 | 2017-06-26 |
| 1265709968 | Lumpkin Surgery Center | Clinic/Center | 1300 Crystal Hills Dr, Athens, GA 30606-5304 | 2011-11-23 |
| 1215115316 | Se Costal Laser Services, LLC | Clinic/Center | 2351 College Station Rd, Athens, GA 30605-3619 | 2008-01-31 |
| 1962453175 | The Surgery Center of Athens, LLC. | Clinic/Center | 105 N Meadows Dr, Athens, TN 37303-4172 | 2006-05-12 |
| 1033583836 | Advanced Gynecologic Surgery Center | Clinic/Center | 1000 Hawthorne Ave, Suite V, Athens, GA 30606-2168 | 2015-11-18 |
| 1801277819 | Hawthorne Surgery Center LLC | Clinic/Center | 1000 Hawthorne Ave, Suite U, Athens, GA 30606-2168 | 2015-06-16 |
| 1316290380 | Athens Surgery Center LLC | Clinic/Center | 105 N Meadows Dr, Athens, TN 37303-4172 | 2012-10-16 |
| 1508135658 | Surgery Center of Athens LLC | Clinic/Center | 2142 W Broad St, Suite 100, Athens, GA 30606-3546 | 2011-12-19 |
| 1699057810 | Oral & Maxillofacial Surgery Center of Athens, LLC | Clinic/Center | 600 Oglethorpe Ave, Suite 4, Athens, GA 30606-2263 | 2011-09-13 |
| Find all providers in ATHENS | ||||
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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.