Portage Surgical Associates Inc in Ravenna - Surgery

Portage Surgical Associates Inc - NPI 1194778522

Portage Surgical Associates Inc is a Surgery in Ravenna, Ohio. Portage Surgical Associates Inc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Portage Surgical Associates Inc is 1194778522. The last update date is 2020-08-22.

Portage Surgical Associates Inc's current location address is 3973 Loomis Pkwy, Ravenna, Ohio. You can contact this provider via phone number 3302968239 and fax number 3302966528. The mailing address for Portage Surgical Associates Inc is 3973 Loomis Pkwy, Ravenna, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Portage Surgical Associates Inc
Address 3973 Loomis Pkwy, Ravenna, Ohio
Phone Number 3302968239
Fax Number 3302966528
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Panzeter Edward
Credentials MD
Telephone Number 3302968239

NPI Number Detail

NPI Number 1194778522
Provider Enumeration Date 2006-05-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 3973 Loomis Pkwy
City Ravenna
State Ohio (OH)
Post Code 442661803
Phone Number 3302968239
Fax Number 3302966528

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2045263 OH --

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FAQs about Portage Surgical Associates Inc

What is the unique identification code assigned to Portage Surgical Associates Inc by the Centers for Medicare & Medicaid Services?

The Portage Surgical Associates Inc has been issued the NPI (National Provider Identifier) 1194778522. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Portage Surgical Associates Inc is located?

The Portage Surgical Associates Inc is situated at the following address: 3973 Loomis Pkwy, Ravenna, OH, 442661803.

What is Portage Surgical Associates Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Portage Surgical Associates Inc is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.

On what date did the Portage Surgical Associates Inc receive the assignment of its 1194778522 from the Centers for Medicare & Medicaid Services?

The Portage Surgical Associates Inc was issued its 1194778522 by the Centers for Medicare & Medicaid Services on 2006-05-18.

When was the information related to Portage Surgical Associates Inc most recently updated or refreshed?

The details pertaining to the Portage Surgical Associates Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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