MEDICARE: FOUNDATION SURGERY AFFILIATE OF MIDDLEBURG HEIGHTS, 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	0782AS	OH

General Provider Information

NPI Number	:	1659324705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOUNDATION SURGERY AFFILIATE OF MIDDLEBURG HEIGHTS, LLC

Provider Business Mailing Address
First Line	:	14000 N PORTLAND AVE
Second Line	:	SUITE 200
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-4003
Country	:	US
Telephone Number	:	405-608-1766
Fax Number	:	405-608-1866

Provider Business Practice Location Address
First Line	:	15345 BAGLEY RD
Second Line	:
City	:	MIDDLEBURG HEIGHTS
State	:	OH
Zip	:	44130-4825
Country	:	US
Telephone Number	:	440-743-8400
Fax Number	:	440-743-8401

Authorized Official
Title or Position	:	EVP AND CHIEF OPERATING OFFICER
Name	:	THOMAS A NEWMAN
Credential	:
Telephone Number	:	405-608-1706

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	03/23/2015

Similar Medicare Providers

1174524235 — MS. KATHLEEN E GIBBONS C.R.N.A.
Practice Location Address:

15345 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
44130-4825

Practice Phone: 440-743-8400
Practice Fax: 440-743-8401

1356677488 — BIG CREEK SURGICAL HOSPITAL, LLC
Practice Location Address:

15345 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
44130-4825

Practice Phone: 440-743-8400
Practice Fax:

1649718321 — SOUTHWEST GENERAL HEALTH CENTER
Practice Location Address:

15345 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
44130-4825

Practice Phone: 440-743-8400
Practice Fax: 440-743-8401

1750328555 — ANESTHESIA SPECIALTY SERVICES INC.
Practice Location Address:

15345 BAGLEY RD
CLEVELAND, OH
44130-4825

Practice Phone: 440-743-8400
Practice Fax: 440-743-8401

1710144126 — MARC ANDREW LAMACCHIA
Practice Location Address:

15345 BAGLEY RD
CLEVELAND, OH
44130-4825

Practice Phone: 440-743-8400
Practice Fax:

1437260502 — DR. LAWRENCE O MARTIN MD
Practice Location Address:

1430 NORTH ARLINGTON HEIGHTS RD , STE 214
ARLINGTON HEIGHTS, IL
60004-4825

Practice Phone: 847-255-7773
Practice Fax: 847-255-7803

Directions to “FOUNDATION SURGERY AFFILIATE OF MIDDLEBURG HEIGHTS, 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 © 2007-2025 (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.