MEDICARE: THREE GABLES SURGERY CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124083878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE GABLES SURGERY CENTER LLC

Provider Business Mailing Address
First Line	:	PO BOX 490
Second Line	:
City	:	PROCTORVILLE
State	:	OH
Zip	:	45669-0490
Country	:	US
Telephone Number	:	740-886-9911
Fax Number	:	740-886-9922

Provider Business Practice Location Address
First Line	:	5897 STATE ROUTE 7
Second Line	:
City	:	PROCTORVILLE
State	:	OH
Zip	:	45669-8852
Country	:	US
Telephone Number	:	740-886-9911
Fax Number	:	740-886-9922

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	VIRGINIA ANN COX
Credential	:
Telephone Number	:	740-886-9911

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	01/20/2021

Similar Medicare Providers

1700118445 — PROFESSIONAL SLEEP DIAGNOSTICS, INC
Practice Location Address:

5897 COUNTY ROAD 107
PROCTORVILLE, OH
45669-8852

Practice Phone: 888-319-0202
Practice Fax: 304-254-8802

1194729111 — MRS. DONNA MARIE BOLDEN MD
Practice Location Address:

10777 COUNTY ROAD 107
PROCTORVILLE, OH
45669-8130

Practice Phone: 740-302-0541
Practice Fax:

1265439384 — TAMELA R. KING C-FNP
Practice Location Address:

10777 COUNTY ROAD 107
PROCTORVILLE, OH
45669-8130

Practice Phone: 740-302-0541
Practice Fax: 740-867-0017

1427026616 — STEVEN J MERKEL M.D.
Practice Location Address:

98 STATE ST
PROCTORVILLE, OH
45669-8163

Practice Phone: 740-886-9403
Practice Fax: 740-886-3006

1881653913 — MRS. NANCY J LEWIS C.P.N.P.
Practice Location Address:

10777 COUNTY ROAD 107
PROCTORVILLE, OH
45669-8130

Practice Phone: 740-302-0541
Practice Fax: 740-886-0255

1053363101 — DR. C. STEVEN BATISTE M.D.
Practice Location Address:

98 STATE ST
PROCTORVILLE, OH
45669-8163

Practice Phone: 740-886-9403
Practice Fax: 740-446-5153

Directions to “THREE GABLES SURGERY CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.