WESTERN RESERVE SURGERY CENTER
NPI 1629053608
Clinic/Center - Ambulatory Surgical in Kent, OH

NPI Status: Active since December 13, 2005

Contact Information

1930 STATE ROUTE 59
KENT, OH
ZIP 44240
Phone: (330) 677-3292
Fax: (330) 677-3624

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About WESTERN RESERVE SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Western Reserve Surgery Center, a provider established in Kent, Ohio operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1629053608 assigned on December 2005. The practitioner's primary taxonomy code is 261QA1903X with license number 0027AS (OH). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Western Reserve Surgery Center. The authorized official of this NPI record is Mrs. Laurie A Simon (Administrator)

NPI
1629053608
Provider Legal Name
WRSC ACQUISITION GROUP, LLC
Other Organization Name
WESTERN RESERVE SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1930 STATE ROUTE 59 KENT, OH 44240
Location Phone
(330) 677-3292
Location Fax
(330) 677-3624
Mailing Address
1930 STATE ROUTE 59 KENT, OH 44240
Mailing Phone
(330) 677-3292
Mailing Fax
(330) 677-3624
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
0027AS
License State
OH

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. LAURIE A SIMON

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(330) 677-3292

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2585680MEDICAID (05)OH 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1629053608
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
264905660
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 4 + 9 + 0 + 5 + 6 + 6 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1629053608 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912987140MRS. LINDA BRINKERHOFF LPT
Individual
Physical Therapist1930 STATE ROUTE 59
KENT, OH 44240
(330) 673-9641
1699737114DR. RANDALL HOWARD SMITH M.D.
Individual
Surgery1930 STATE ROUTE 59 SUITE D
KENT, OH 44240
(330) 678-5447
1740219112DR. KENNETH DAVID HOPPER M.D.
Individual
Specialist1930 STATE ROUTE 59
KENT, OH 44240
(330) 677-3632
1881623411DR. STEVEN DOUGLAS STOWELL M.D.
Individual
Radiology (Diagnostic Radiology)1930 STATE ROUTE 59
KENT, OH 44240
(330) 677-3632
1578593299ALBERT J. COOK M.D. INC
Organization
Radiology (Diagnostic Radiology)1930 STATE ROUTE 59
KENT, OH 44240
(330) 677-3632
1619907342OHIO IMAGING CENTERS INC.
Organization
Radiology (Diagnostic Radiology)1930 STATE ROUTE 59
KENT, OH 44240
(330) 677-3632
1366513830PENN IMAGING ASSOCIATES PC
Organization
Radiology (Diagnostic Radiology)1930 STATE ROUTE 59
KENT, OH 44240
(724) 656-4127
1477768174PROFESSIONAL MANAGEMENT SYSTEMS, LLC
Organization
Radiology (Diagnostic Radiology)1930 STATE ROUTE 59
KENT, OH 44240
(330) 677-3632
1093994196RANDALL H SMITH MD INC
Organization
Surgery1930 STATE ROUTE 59
KENT, OH 44240
(330) 678-5447
1992736888DR. DAVID D.Y. LAN M. D.
Individual
Radiology (Diagnostic Radiology)1930 STATE ROUTE 59
KENT, OH 44240
(330) 677-3632
1336570480DR. RODNEY SCOTT DPM
Individual
Podiatrist (Foot & Ankle Surgery)1930 STATE ROUTE 59 STE D
KENT, OH 44240
(330) 673-3505
1780080812DR. MICHAEL JACK D.P.M.
Individual
Podiatrist1930 STATE ROUTE 59
KENT, OH 44240
(330) 673-3505
1942238449 CHERYL PETERSILGE
Individual
Specialist1930 STATE ROUTE 59 SUITE 3950
KENT, OH 44240
(330) 677-3632

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629053608, enumerated in the NPI registry as an "organization" on December 13, 2005

The provider is located at 1930 State Route 59 Kent, Oh 44240 and the phone number is (330) 677-3292

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 13, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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