Organization
NORTHERN OHIO SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
300 ALLEN BRADLEY DR STE 100, MAYFIELD HEIGHTS, OH 44124-6130
(216) 353-6959
(216) 586-2647
Mailing address
300 ALLEN BRADLEY DR STE 100, MAYFIELD HEIGHTS, OH 44124-6130
(216) 353-6959
(216) 586-2647
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0468167
—
OH
01
—
1233AS
LICENSE
OH
Enumeration date
08/03/2021
Last updated
08/26/2025
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