ERIE SHORES SURGERY CENTER LLC
NPI 1750948873
Clinic/Center - Ambulatory Surgical in Sandusky, OH

Active since May 23, 2019CLIA 36D0974236 · Waiver
2800 HAYES AVE BLDG E, SANDUSKY, OH 44870(419) 627-8557 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2022, Nov 5, 2020, May 23, 2019 (3 updates tracked since 2019).

About Erie Shores Surgery Center Llc NPPES

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

ERIE SHORES SURGERY CENTER LLC (NPI 1750948873) is a healthcare organization registered as an ambulatory surgical in Sandusky, Ohio and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through May 31, 2028 and lists Robert Moore, Manager, as its authorized official.

NPPES Registry Identity

NPI1750948873
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameERIE SHORES SURGERY CENTER LLC
Location Address2800 HAYES AVE BLDG ESandusky, OH 44870-7255
Mailing Address2800 Hayes Ave Bldg ESandusky, OH 44870-7255
Organization SubpartNo
Authorized OfficialRobert MooreManager · (419) 627-8557
Enumeration DateMay 23, 2019
Last NPPES UpdateSeptember 16, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
NPI 1750948873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2800 HAYES AVE BLDG E, Sandusky, OH 44870

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 36D0974236

Erie Shores Surgery Center · Sandusky, OH
Active · expires May 31, 2028
CLIA Number36D0974236
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorFredric Itzkowitz
Laboratory Phone(419) 627-8557
Laboratory LocationErie Shores Surgery Center2800 Hayes Avenue Bldg E, Sandusky, OH 44870
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 25

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, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
1,729 services12 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.
312 services100 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.
276 services142 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
251 services121 patients
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.
194 services107 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
81 services67 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 Erie Shores Surgery Center LLC's NPI number?

The NPI number for Erie Shores Surgery Center LLC is 1750948873. It was assigned to this organization in the NPPES registry on May 23, 2019.

Where is Erie Shores Surgery Center LLC located?

Erie Shores Surgery Center LLC is located at 2800 Hayes Ave Bldg E, Sandusky, OH 44870. The listed phone number is (419) 627-8557.

What is Erie Shores Surgery Center LLC's specialty?

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

Does Erie Shores Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0974236) is associated with this NPI, valid through May 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Erie Shores Surgery Center LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Erie Shores 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 Erie Shores Surgery Center LLC was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.