0001079159-15-000001.txt : 20151120 0001079159-15-000001.hdr.sgml : 20151120 20151119181020 ACCESSION NUMBER: 0001079159-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151120 DATE AS OF CHANGE: 20151119 EFFECTIVENESS DATE: 20151120 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: 021-251614 FILM NUMBER: 151244606 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 David Provenzano 702 Augusta Drive Bridgeville PA PENNSYLVANIA 15014 Director Hospitals and Physicians Decline to Disclose 06b false true false true false 0 557166 0 557166 false 0 0 0 0 false WESTERN PA SURGERY CENTER WEXFORD BRANCH LLC Glenn A. Buterbaugh Glenn A. Buterbaugh President 2015-11-19