# REVISION ADVANCED SURGERY CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REVISION ADVANCED SURGERY CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992018790
- **Legal business name:** REVISION ADVANCED SURGERY CENTER
- **Authorized official:** DOUGLAS JAMES SCHUMER MD (PRESIDENT)
- **Authorized official phone:** (419) 525-3737

## Contact information

- **Practice address:** 1080 POLARIS PKWY, COLUMBUS, OH 43240-6035
- **Practice address phone:** (800) 475-2113
- **Practice address fax:** (614) 781-1974
- **Mailing address:** 1080 POLARIS PKWY, COLUMBUS, OH 43240-6035
- **Mailing address phone:** (800) 475-2113
- **Mailing address fax:** (614) 781-1974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0642AS | OH | Yes |

## Other

- **Enumeration date:** 07/21/2010
- **Last updated:** 10/23/2014