THE SURGERY CENTER AT SOUTHWOODS, LLC (NPI# 1740398890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740398890 |
Entity Type | Organization |
Organization Name | THE SURGERY CENTER AT SOUTHWOODS, LLC |
Other Organization Name | THE SURGICAL HOSPITAL AT SOUTHWOODS |
Practice Address |
7630 Southern Blvd Youngstown OH 44512-5633 |
Practice Telephone | 3307581954 |
Practice Fax Number | 3307583254 |
Mailing Telephone | 3307581954 |
Mailing Fax Number | 3307583254 |
Enumeration Date | 2006-08-28 |
Last Update Date | 2014-08-08 |
Authorized Official Name | MR. EDWARD MURANSKY (CEO) |
Authorized Official Telephone | 3307581954 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0046AS | OH | Ambulatory Health Care Facilities |
N | 282N00000X | General Acute Care Hospital | 1485 | OH | Hospitals |
Y | 284300000X | Special Hospital | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2369619 | 05 | |
OH | CMS CERTIFICATION NUMBER | 36-0352 | 01 |
Other Name | Type Code |
---|---|
The Surgical Hospital at Southwoods | Doing Business As Name - Organization |
Street Address |
7630 SOUTHERN BLVD |
City | YOUNGSTOWN |
State | OH |
Zip Code | 44512-5633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265427603 | Anthony James Candella Jr. | Anesthesiology | 7630 Southern Blvd, Youngstown, OH 44512-5633 | 2005-09-13 |
1932668399 | Megan Anne Mcdermott | Nurse Practitioner | 7630 Southern Blvd, Youngstown, OH 44512-5633 | 2019-03-15 |
1962980912 | Rachael Anne Visingardi | Registered Nurse | 7630 Southern Blvd, Youngstown, OH 44512-5633 | 2018-08-01 |
1053789123 | Pamela Smith | Nurse Practitioner | 7630 Southern Blvd, Youngstown, OH 44512-5633 | 2015-09-08 |
1437544905 | Lucas Mark Davanzo | Anesthesiology | 7630 Southern Blvd, Youngstown, OH 44512-5633 | 2015-04-01 |
1932442324 | Lauren Marie Baluch | Registered Nurse | 7630 Southern Blvd, Youngstown, OH 44512 | 2013-04-03 |
1366709602 | Joseph Williams | Anesthesiology | 7630 Southern Blvd, Youngstown, OH 44512-5633 | 2012-04-11 |
1063692069 | Candace Stefancin | Nurse Anesthetist, Certified Registered | 7630 Southern Blvd, Youngstown, OH 44512-5633 | 2007-11-07 |
1265650949 | Southwoods Anesthesia, LLC | Anesthesiology | 7630 Southern Blvd, Youngstown, OH 44512-5633 | 2007-04-20 |
1528085479 | Tracy Lynn Dovich | Anesthesiology | 7630 Southern Blvd, Youngstown, OH 44512-5633 | 2006-07-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
Find all providers in zip 44512 |
Taxonomy Code | 284300000X |
Grouping | Hospitals |
Classification | Special Hospital |
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
Notes: Source: AHA Guide, Registration section, p. A5. |
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1619588787 | Promedica Physicians At Home, LLC | Special Hospital | 1801 Richards Rd, Toledo, OH 43607-1037 | 2020-08-12 |
1558922476 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1 Eagle Valley Ct Ste 101, Broadview Hts, OH 44147-2982 | 2019-06-21 |
1134602808 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 500 W Hopocan Ave Ste 102, Barberton, OH 44203-2262 | 2018-09-10 |
1225528938 | Wellcare Health System, LLC | Special Hospital | 241 N Superior St Ste 102, Toledo, OH 43604-1253 | 2018-05-17 |
1013428259 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 437 Portage Trl Ste B, Cuyahoga Falls, OH 44221-3227 | 2017-10-16 |
1952832305 | Long Island Jewish Forest Hills Hospital | Special Hospital | 3590 Blackberry Ln, Westlake, OH 44145-7400 | 2017-03-27 |
1770025652 | Aultman Radiation Oncology of Alliance Community Hosp | Special Hospital | 885 South Sawburg Ave Suite 108, Alliance, OH 44601-5926 | 2016-11-09 |
1245685452 | Rock Creek Medical Center | Special Hospital | 2863 St Rt 45 N, Rock Creek, OH 44084 | 2016-04-26 |
1558785329 | Saskia Richter | Special Hospital | 1442 Neil Ave Apt A, Columbus, OH 43201-2651 | 2014-02-13 |
1750626735 | Acuity Specialty Hospital | Special Hospital | 4697 Harrison St Fl 2, Bellaire, OH 43906-1338 | 2012-12-03 |
Find all providers with the same taxonomy |
City | YOUNGSTOWN |
Zip Code | 44512 |
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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.