Premium Surgery Center LLC
Premium Surgery Center LLC is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Elyria, OH, holding Type 2 (organization) NPI 1588633184 since 2006. The authorized official on file is Rose Bee, Title Admin.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1588633184 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Premium Surgery Center LLC |
| Other name | <Unavail> |
| Practice address | 5319 HOAG DR, Elyria, OH, 44035 |
| Phone | 4409306042 |
| Fax | 4409306105 |
| Enumeration date | 2006-03-16 |
| Last updated in NPPES | 2019-04-18 |
Authorized official
| Name | Rose Bee |
|---|---|
| Title | Title Admin |
| Phone | 4409375851 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | 0572AS | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000338767 | Other | — | BLUE CROSS BLUE SHIELD |
| 2213107 | Medicaid | OH | — |
| P00124229 | Other | — | RR MEDICARE |
Copy-ready billing details
Provider: Premium Surgery Center LLC NPI: 1588633184 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 5319 HOAG DR, Elyria, OH, 44035
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1427040914 | Mark Bej | Individual | Neurology Physician | Sheffield Village, OH |
| 1679568760 | Jeffrey Bailey | Individual | Certified Registered Nurse Anesthetist | Sheffield Village, OH |
| 1740267244 | Sanjay Kumar | Individual | Interventional Pain Medicine Physician | Sheffield Village, OH |
| 1609846591 | Bryan Davis | Individual | Physician Assistant | Sheffield Village, OH |
| 1154391639 | Charles Choi | Individual | Pain Medicine (Anesthesiology) Physician | Sheffield Village, OH |
| 1902866148 | Kathy Dalzell | Individual | Adult Health Nurse Practitioner | Sheffield Village, OH |
| 1386602092 | Mario Sertich | Individual | Neurological Surgery Physician | Sheffield Village, OH |
| 1790743540 | Neurospinecare, Inc. | Organization | Interventional Pain Medicine Physician | Sheffield Village, OH |
Verify this record
Cross-check NPI 1588633184 against the authoritative CMS record: view Premium 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 is a Type 2 NPI?
What type of organization is Premium Surgery Center LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-04-18.