# FOUNDATION SURGERY AFFILIATE OF MIDDLEBURG HEIGHTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BIG CREEK SURGERY CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659324705
- **Authorized official:** THOMAS A NEWMAN (EVP AND CHIEF OPERATING OFFICER)
- **Authorized official phone:** (405) 608-1706

## Contact information

- **Practice address:** 15345 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130-4825
- **Practice address phone:** (440) 743-8400
- **Practice address fax:** (440) 743-8401
- **Mailing address:** 14000 N PORTLAND AVE, SUITE 200, OKLAHOMA CITY, OK 73134-4003
- **Mailing address phone:** (405) 608-1766
- **Mailing address fax:** (405) 608-1866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0782AS | OH | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 03/23/2015