# PODIATRIC SURGI CENTER INC

> 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:** 1942206677
- **Authorized official:** DR. JAMES REVELAS D.P.M. (OWNER)
- **Authorized official phone:** (419) 663-3338

## Contact information

- **Practice address:** 64 EXECUTIVE DR, NORWALK, OH 44857-9568
- **Practice address phone:** (419) 663-3338
- **Mailing address:** 64 EXECUTIVE DR, NORWALK, OH 44857-9568
- **Mailing address phone:** (419) 663-3338

## Taxonomy

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

## Other

- **Enumeration date:** 06/27/2005
- **Last updated:** 07/21/2022