0001079159-14-000001.txt : 20141209
0001079159-14-000001.hdr.sgml : 20141209
20141209110103
ACCESSION NUMBER: 0001079159-14-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20141209
DATE AS OF CHANGE: 20141209
EFFECTIVENESS DATE: 20141209
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: WESTERN PA SURGERY CENTER WEXFORD BRANCH LLC
CENTRAL INDEX KEY: 0001079159
IRS NUMBER: 000000000
STATE OF INCORPORATION: PA
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-229726
FILM NUMBER: 141274156
BUSINESS ADDRESS:
STREET 1: 6001 STONEWOOD DR
CITY: WEXFORD
STATE: PA
ZIP: 15090
BUSINESS PHONE: 724-933-3800
MAIL ADDRESS:
STREET 1: 6001 STONEWOOD DR
CITY: WEXFORD
STATE: PA
ZIP: 15090
D
1
primary_doc.xml
X0707
D
LIVE
0001079159
WESTERN PA SURGERY CENTER WEXFORD BRANCH LLC
6001 STONEWOOD DR
WEXFORD
PA
PENNSYLVANIA
15090
724-933-3800
PENNSYLVANIA
None
None
Limited Liability Company
true
Glenn
A.
Buterbaugh
395 Golfside Lane
Wexford
PA
PENNSYLVANIA
15090
Executive Officer
Director
President, Treasurer, Director and Member of Medical Executive Committee
Marshall
Balk
6410 Beacon Street
Pittsburgh
PA
PENNSYLVANIA
15217
Director
Christ
Balouris
8226 Bramble Lane
Pittsburgh
PA
PENNSYLVANIA
15237
Executive Officer
Director
Vice President and Director
Michael
Bowman
2731 Indian Spring Lane
Allison Park
PA
PENNSYLVANIA
15101
Director
David
Buerger
286 Highvue Circle
Wexford
PA
PENNSYLVANIA
15090
Director
Director and Member of Medical Executive Committee
Aaron
G.
Grand
104 Spenser Lane
Sewickley
PA
PENNSYLVANIA
15143
Director
William
Hagberg
1 Old Timber Trail
Pittsburgh
PA
PENNSYLVANIA
15238
Director
Joseph
Imbriglia
683 Stoneylonesome Road
Stahlstown
PA
PENNSYLVANIA
15687
Executive Officer
Director
Secretary and Director
Cari
Lyle
415 Glen Arden Drive
Pittsburgh
PA
PENNSYLVANIA
15208
Director
David
Malone
251 Timothy Drive
Gibsonia
PA
PENNSYLVANIA
15044
Director
Lisa
Nath
2158 Grandeur Drive
Gibsonia
PA
PENNSYLVANIA
15044
Director
Director and Member of Medical Executive Committee
Paul
Phillips
829 Lake Road
Bradford Woods
PA
PENNSYLVANIA
15015
Director
Hospitals and Physicians
Decline to Disclose
- 06b
false
true
false
true
false
0
104423
0
104423
false
0
0
0
0
false
WESTERN PA SURGERY CENTER WEXFORD BRANCH LLC
/glennabuterbaugh/
Glenn A. Buterbaugh
President
2014-12-09