OrganizationActive
Surgical Interventions, LLC
NPI 1497951149 · Surgery Physician · Newark, OH
Provider details
- NPI number
- 1497951149
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robin Roback, Office Manager(220) 564-1985
- License
- 34005969R (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1371 W Main St
Newark, OH 43055-3681
Phone: (220) 564-1985
Fax: (220) 564-1991
Street-level locationGet directions
Mailing address
1371 W Main St
Newark, OH 43055-3681
Registry dates
- Enumerated
- 2007-06-21
- Last updated
- 2019-12-12
- Certified
- 2019-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.