Provider Demographics
NPI:1801569348
Name:CPSI SURGERY CENTER
Entity type:Organization
Organization Name:CPSI SURGERY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:440-461-6100
Mailing Address - Street 1:2060 LANDER RD
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4100
Mailing Address - Country:US
Mailing Address - Phone:133-020-4758
Mailing Address - Fax:440-461-1440
Practice Address - Street 1:2060 LANDER RD
Practice Address - Street 2:
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-4100
Practice Address - Country:US
Practice Address - Phone:133-020-4758
Practice Address - Fax:440-461-1440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty