Independence Surgery Center, LLC
Independence Surgery Center, LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Independence, OH, holding Type 2 (organization) NPI 1063430775 since 2006. The authorized official on file is Randy Rosen, Partner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063430775 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Independence Surgery Center, LLC |
| Practice address | 6701 ROCKSIDE RD, STE. 101, Independence, OH, 44131 |
| Phone | 2165240297 |
| Enumeration date | 2006-07-18 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Randy Rosen |
|---|---|
| Title | Partner |
| Phone | 3104403131 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Independence Surgery Center, LLC NPI: 1063430775 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 6701 ROCKSIDE RD, STE. 101, Independence, OH, 44131
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528061702 | Eric Boose | Individual | Family Medicine Physician | Independence, OH |
| 1649276031 | Comprehensive Family Medicine | Organization | Family Medicine Physician | Independence, OH |
| 1710988100 | Shaun Ortega | Individual | Physician Assistant | Independence, OH |
| 1144218355 | Nezar Rahim | Individual | Nephrology Physician | Independence, OH |
| 1437147402 | Mary Bauer | Individual | Physician Assistant | Independence, OH |
| 1124017413 | Charity Kankam | Individual | Nephrology Physician | Independence, OH |
| 1831188168 | Meyyappan Somasundaram | Individual | Internal Medicine Physician | Independence, OH |
| 1730179615 | Haifa Hanna | Individual | Nephrology Physician | Independence, OH |
Verify this record
Cross-check NPI 1063430775 against the authoritative CMS record: view Independence Surgery Center, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Independence Surgery Center, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.