AFFILIATED AMBULATORY SURGERY CENTER LLC (NPI# 1982696894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982696894 |
| Entity Type | Organization |
| Organization Name | AFFILIATED AMBULATORY SURGERY CENTER LLC |
| Practice Address |
650 Shawan Falls Dr Dublin OH 43017-2100 |
| Practice Telephone | 6147641711 |
| Practice Fax Number | 6148892652 |
| Mailing Telephone | 6147641711 |
| Mailing Fax Number | 6148892652 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2008-02-04 |
| Authorized Official Name | DR. DWIGHT A SCARBOROUGH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6147641711 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0059AS | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM SR. ADVANTAGE PIN | BC00001B42 | 01 |
| OH | ANTHEM PIN NUMBER | BC00000B42 | 01 |
| Street Address |
650 SHAWAN FALLS DR |
| City | DUBLIN |
| State | OH |
| Zip Code | 43017-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457343527 | Dwight A Scarborough | Dermatology | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2005-08-16 |
| 1235515024 | Yange Zhang | Acupuncturist | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2015-08-04 |
| 1356537328 | Kathryn Tloczynski | Nurse Practitioner | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2007-09-24 |
| 1306056171 | Brett Robert Kockentiet | Dermatology | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2007-05-23 |
| 1073581443 | Sarah A. Landis | Physician Assistant | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2006-03-10 |
| 1073598132 | Gerald Melville Penn | Pathology | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2005-12-13 |
| 1932184090 | Affiliated Dermatology & Cosmetic Surgery Center, Inc | Dermatology | 650 Shawan Falls Dr, Suite 105, Dublin, OH 43017-2100 | 2005-12-13 |
| 1013992080 | Amy L Nutting | Physician Assistant | 650 Shawan Falls Dr, Dublin, OH 43017-2100 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770048894 | Teresa O'connell | Dermatology | Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 | 2019-02-02 |
| 1356814560 | Trishaya Spain-austin | Behavior Technician | 545 Metro Place North, Suite 100, Dublin, OH 43017 | 2019-01-10 |
| 1669955902 | Tamara Moss | Occupational Therapist | 10516 Sawmill Road, Suite B, Dublin, OH 43017 | 2018-09-12 |
| 1548753692 | Complex Wound Consultant L.L.C. | Surgery | 5712 Southby Ct, Dublin, OH 43017 | 2018-06-13 |
| 1063916948 | Enabling Recovery LLC | Community/Behavioral Health | 5945 Sawmill Rd Ste B, Dublin, OH 43017 | 2018-03-23 |
| 1750898839 | Inner Health Chiropractic, Inc | Chiropractor | 220 West Bridge, Inner Health Chiropractic, Dublin, OH 43017 | 2018-01-10 |
| 1598274144 | Catherine Ann Albrecht | Case Manager/Care Coordinator | 525 Metro Place N., Dublin, OH 43017 | 2017-09-27 |
| 1346769338 | Rachel Mary Baldwin | Speech-Language Pathologist | 9892 Macdonald Dr., Dublin, OH 43017 | 2017-09-12 |
| 1629596275 | Julie Battaglia | Counselor | 525 Metro Place, Suite 100, Dublin, OH 43017 | 2017-09-05 |
| 1205365541 | Tracey Lechner | Speech-Language Pathologist | 7424 Coventry Woods Drive, Dublin, OH 43017 | 2017-06-09 |
| Find all providers in zip 43017 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306374301 | Tri Valley Surgery Center | Clinic/Center | 11860 Dublin Blvd, Dublin, CA 94568-2828 | 2017-06-02 |
| 1023149242 | Dublin Orthopaedics Asc, Inc. | Clinic/Center | 2627 Moore Station Road, Dublin, GA 31021 | 2007-03-08 |
| 1093710873 | Dublin Surgical Center, LLC | Clinic/Center | 5005 Parkcenter Ave, Dublin, OH 43017-3582 | 2005-06-17 |
| 1275040800 | Bradenton Surgery Center LLC | Clinic/Center | 4930 Bradenton Ave, Dublin, OH 43017 | 2018-01-04 |
| 1679092209 | Tir Valley Plastic Surgery Center, LLC | Clinic/Center | 11860 Dublin Blvd, Dublin, CA 94568-2828 | 2017-09-14 |
| 1578808069 | Hillcrest Surgery Center, LLC | Clinic/Center | 1110 Hillcrest Pkwy, Dublin, GA 31021-3687 | 2012-12-10 |
| 1710201538 | Dublin Surgery Center LLC | Clinic/Center | 5005 Parkcenter Ave, Dublin, OH 43017-3582 | 2010-03-23 |
| 1295911154 | Central Ohio Endoscopy Center, LLC | Clinic/Center | 6670 Perimeter Dr, Suite 200, Dublin, OH 43016-8056 | 2008-01-10 |
| 1902095417 | Perimeter Surgical Center Inc | Clinic/Center | 6620 Perimeter Dr, Suite 100b, Dublin, OH 43016-8055 | 2007-10-21 |
| 1063609238 | Associates In Central Ohio Obstetrics & Gynecology, Inc | Clinic/Center | 7235 Sawmill Rd, Suite 200, Dublin, OH 43016-5003 | 2007-10-01 |
| Find all providers in DUBLIN | ||||
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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.