# NORTHERN OHIO SURGERY CENTER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043984248
- **Authorized official:** JENNIFER BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
- **Authorized official phone:** (615) 234-5954

## Contact information

- **Practice address:** 300 ALLEN BRADLEY DR STE 100, MAYFIELD HEIGHTS, OH 44124-6130
- **Practice address phone:** (216) 353-6959
- **Practice address fax:** (216) 586-2647
- **Mailing address:** 300 ALLEN BRADLEY DR STE 100, MAYFIELD HEIGHTS, OH 44124-6130
- **Mailing address phone:** (216) 353-6959
- **Mailing address fax:** (216) 586-2647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2021
- **Last updated:** 08/26/2025