MEDICARE: HSC SURGICAL ASSOCIATES

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	0776AS	OH

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

General Provider Information

NPI Number	:	1457490872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HSC SURGICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	2990 MACK RD
Second Line	:	SUITE 203
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-5383
Country	:	US
Telephone Number	:	513-874-9432
Fax Number	:

Provider Business Practice Location Address
First Line	:	2990 MACK RD
Second Line	:	SUITE 203
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-5383
Country	:	US
Telephone Number	:	513-874-9432
Fax Number	:

Authorized Official
Title or Position	:	BOARD MEMBER
Name	:	DR. ALAN V SAFDI
Credential	:	MD
Telephone Number	:	513-751-6667

Provider Enumeration Date	:	02/05/2007
Last Update Date	:	01/07/2009

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Directions to “HSC SURGICAL ASSOCIATES ” Practice Location

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