Provider Demographics
NPI:1568579340
Name:ASSOCIATED SURGICAL SPECIALISTS LTD
Entity Type:Organization
Organization Name:ASSOCIATED SURGICAL SPECIALISTS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:SLEZAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-564-0728
Mailing Address - Street 1:95 ARCH ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1437
Mailing Address - Country:US
Mailing Address - Phone:330-564-0728
Mailing Address - Fax:330-564-0733
Practice Address - Street 1:95 ARCH ST
Practice Address - Street 2:SUITE 150
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1437
Practice Address - Country:US
Practice Address - Phone:330-564-0728
Practice Address - Fax:330-564-0733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2009-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9347901Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER