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WILLOUGHBY SURGERY CENTER, LLC
NPI 1255503553
Clinic/Center - Ambulatory Surgical in Willoughby, OH

Active since March 26, 2008CLIA 36D1080505 · Waiver
6025 COMMERCE CIR, SUITE 1, WILLOUGHBY, OH 44094(440) 585-2750(440) 944-0868 Get Directions Write a Review

NPPES record last updated: February 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willoughby Surgery Center, Llc NPPES

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

WILLOUGHBY SURGERY CENTER, LLC (NPI 1255503553) is a healthcare organization registered as an ambulatory surgical in Willoughby, Ohio and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists David A Demangone, Owner, as its authorized official.

NPPES Registry Identity

NPI1255503553
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWILLOUGHBY SURGERY CENTER, LLC
Location Address6025 COMMERCE CIR, SUITE 1Willoughby, OH 44094-9668
Mailing Address6025 Commerce Cir, Suite 1Willoughby, OH 44094-9668 · (440) 585-2750 · Fax (440) 944-0868
Phone(440) 585-2750
Fax(440) 944-0868
Organization SubpartNo
Authorized OfficialDavid A DemangoneOwner · (440) 944-1414
Enumeration DateMarch 26, 2008
Last NPPES UpdateFebruary 20, 2013
✔ NPI 1255503553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6025 COMMERCE CIR, Willoughby, OH 44094
Open in Google Maps ↗

Other Identifiers 3

Medicare PIN3612561OH
OtherP00829745OH · Railroad Medicare
Medicaid3137920OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual.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 36D1080505

Willoughby Surgery Center · Willoughby, OH
Active · expires Feb 24, 2028
CLIA Number36D1080505
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorDavid A. Demangone MD
Laboratory Phone(440) 585-2750
Laboratory LocationWilloughby Surgery Center6025 Commerce Circle Suite 1, Willoughby, OH 44094
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID ANTHONY DEMANGONE M.D.
Pain Medicine (Pain Medicine)
6025 COMMERCE CIR, #2
WILLOUGHBY, OH 44094
Lake County (440) 944-1414
PAIN MANAGEMENT ASSOCIATION, LLC
Pain Medicine (Interventional Pain Medicine)
6025 COMMERCE CIR, #2
WILLOUGHBY, OH 44094
Lake County (440) 944-1414
DAVID A. DEMANGONE LLC
Durable Medical Equipment & Medical Supplies
6025 COMMERCE CIR
WILLOUGHBY, OH 44094
Lake County (440) 944-1414
AMBULATORY ANESTHESIA SERVICES, LLC
Anesthesiology
6025 COMMERCE CIR, SUITE 2
WILLOUGHBY, OH 44094
Lake County (440) 944-1414

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 Willoughby Surgery Center, LLC's NPI number?

The NPI number for Willoughby Surgery Center, LLC is 1255503553. It was assigned to this organization in the NPPES registry on March 26, 2008.

Where is Willoughby Surgery Center, LLC located?

Willoughby Surgery Center, LLC is located at 6025 Commerce Cir Suite 1, Willoughby, OH 44094. The listed phone number is (440) 585-2750.

What is Willoughby Surgery Center, LLC's specialty?

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

Does Willoughby Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1080505) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Willoughby Surgery Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and MedMutual list Willoughby 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 Willoughby Surgery Center, LLC was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.