NORTHERN OHIO SURGERY CENTER, LLC
NPI 1043984248
Clinic/Center - Ambulatory Surgical in Mayfield Heights, OH

Active since August 03, 2021CLIA 36D1025682 · Waiver
300 ALLEN BRADLEY DR STE 100, MAYFIELD HEIGHTS, OH 44124(216) 353-6959(216) 586-2647 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 10, 2023, Aug 3, 2021 (2 updates tracked since 2021).

About Northern Ohio Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN OHIO SURGERY CENTER, LLC (NPI 1043984248) is a healthcare organization registered as an ambulatory surgical in Mayfield Heights, Ohio and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through May 12, 2028 and lists Jennifer Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1043984248
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTHERN OHIO SURGERY CENTER, LLC
Location Address300 ALLEN BRADLEY DR STE 100Mayfield Heights, OH 44124-6130
Mailing Address300 Allen Bradley Dr Ste 100Mayfield Heights, OH 44124-6130 · (216) 353-6959 · Fax (216) 586-2647
Fax(216) 586-2647
Organization SubpartNo
Authorized OfficialJennifer BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateAugust 3, 2021
Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
NPI 1043984248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
300 ALLEN BRADLEY DR STE 100, Mayfield Heights, OH 44124

Other Identifiers 2

Other1233ASOH · License
Medicaid0468167OH

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1025682

Northern Ohio Surgery Center, LLC · Mayfield Heights, OH
Active · expires May 12, 2028
CLIA Number36D1025682
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorReuben Gobezie
Laboratory Phone(216) 306-0573
Laboratory LocationNorthern Ohio Surgery Center, LLC300 Allen Bradley Dr Suite 100, Mayfield Heights, OH 44124
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
284 services140 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
169 services79 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
117 services117 patients
Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level 64479
This procedure involves injecting anesthetic or steroid medication into a specific nerve root in the upper or middle spine. It's performed using imaging technology for precise placement. The aim is to reduce inflammation and alleviate pain.
109 services54 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
76 services41 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
46 services30 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Ohio Surgery Center, LLC's NPI number?

The NPI number for Northern Ohio Surgery Center, LLC is 1043984248. It was assigned to this organization in the NPPES registry on August 3, 2021.

Where is Northern Ohio Surgery Center, LLC located?

Northern Ohio Surgery Center, LLC is located at 300 Allen Bradley Dr Ste 100, Mayfield Heights, OH 44124. The listed phone number is (216) 353-6959.

What is Northern Ohio Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Northern Ohio Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1025682) is associated with this NPI, valid through May 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northern Ohio Surgery Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Molina Healthcare list Northern Ohio Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northern Ohio Surgery Center, LLC was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.