# NORTHEAST OHIO SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northeast Ohio Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891793915
- **Authorized official:** JEROME B. YOKIEL MD (PRESIDENT, MEDICAL DIRECTOR)
- **Authorized official phone:** (216) 360-9610

## Contact information

- **Practice address:** 3755 ORANGE PLACE, SUITE 102, ORANGE VILLAGE, OH 44122-4455
- **Practice address phone:** (216) 360-9610
- **Practice address fax:** (216) 360-9606
- **Mailing address:** 3755 ORANGE PLACE, SUITE 102, ORANGE VILLAGE, OH 44122-4455
- **Mailing address phone:** (216) 360-9610
- **Mailing address fax:** (216) 360-9606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0673AS | OH | Yes |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 03/25/2011