SURGERY CENTER OF CINCINNATI, LLC (NPI# 1538122957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538122957 |
| Entity Type | Organization |
| Organization Name | SURGERY CENTER OF CINCINNATI, LLC |
| Practice Address |
4415 Aicholtz Rd Cincinnati OH 45245-1506 |
| Practice Telephone | 5139471130 |
| Practice Fax Number | 5139478541 |
| Mailing Telephone | 5139471130 |
| Mailing Fax Number | 5139478541 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2011-04-12 |
| Authorized Official Name | VIRGIL RAY CANTRELL (ADMINISTRATOR) |
| Authorized Official Telephone | 5139471130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0587AS | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM PROVIDER ID | 000000156597 | 01 |
| OH | HUMANA PROVIDER ID | 61101 | 01 |
| KY | KENTUCKY WORKERS COMP | 375674700 | 01 |
| OH | 2185102 | 05 | |
| KY | 36000123 | 05 | |
| IN | 200292830A | 05 |
| Street Address |
4415 AICHOLTZ RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45245-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746301 | Todd R. Bricking | Emergency Medicine | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2005-08-02 |
| 1255768107 | Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2013-10-08 |
| 1275705048 | Tri-state Pain Management Service Inc | Nurse Practitioner | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2008-04-01 |
| 1265541049 | Eastgate Radiation Oncology LLC | Radiology | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2006-08-29 |
| 1952340903 | Kevin R Ackley | Emergency Medicine | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2006-06-05 |
| 1316999337 | Eastgate Cancer Center LLC | Radiology | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797792 | Nguyen Dentists of Eastgate, PC, Inc | Dentist | 880 Eastgate North Dr., Suite 101, Cincinnati, OH 45245 | 2019-12-18 |
| 1245871896 | Jacqueline Marie Dunker | Pharmacist | Walmart Pharmacy 1443, 4370 Eastgate Square Drive, Cincinnati, OH 45245 | 2019-10-04 |
| 1134785389 | Cei Physicians P.s.c., LLC | Clinic/Center | 601 Ivy Gateway, Suite 302, Cincinnati, OH 45245 | 2019-05-14 |
| 1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
| 1902387335 | Sarah Joy Martinez | Occupational Therapy Assistant | 4300 Glen Este-withamsville Rd, Cincinnati, OH 45245 | 2018-08-23 |
| 1376051979 | Starline Investments Inc | Ambulance | 3226 Omni Dr, Cincinnati, OH 45245 | 2018-01-17 |
| 1255842084 | Trilogy Healthcare of Clermont, LLC | Skilled Nursing Facility | 4300 Gleneste-withamsville Road, Cincinnati, OH 45245 | 2017-10-19 |
| 1467974303 | Christabel Ngwepegue Nyam | Licensed Practical Nurse | 4110 Long Acres Dr, Cincinnati, OH 45245 | 2017-07-12 |
| 1518493683 | Melody Sue King | Nursing Facility/Intermediate Care Facility | 822 Youngs Lane, Cincinnati, OH 45245 | 2017-05-10 |
| 1558715789 | Yael Joseph Garcia | Dentist | 880 Eastgate N Dr., Ste 101, Cincinnati, OH 45245 | 2016-04-13 |
| Find all providers in zip 45245 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904445 | The Good Samaritan Hospital of Cincinnati, Ohio | Clinic/Center | 538 Oak St Ste 100, Cincinnati, OH 45219-2554 | 2020-08-25 |
| 1194341768 | Wellington Specialty Surgery Center, LLC | Clinic/Center | 4355 Ferguson Dr Ste 190, Cincinnati, OH 45245-5137 | 2020-06-19 |
| 1013565175 | David B Schwartz Md, LLC | Clinic/Center | 2123 Auburn Ave Ste 320, Cincinnati, OH 45219-2906 | 2019-08-30 |
| 1285117564 | Mercy Kenwood Ambulatory Surgery Center LLC | Clinic/Center | 8250 Kenwood Crossing Way Ste 102, Cincinnati, OH 45236-3669 | 2018-09-12 |
| 1225558497 | Trihealth Hospital, Inc. | Clinic/Center | 7810 5 Mile Rd Ste B, Cincinnati, OH 45230-2356 | 2017-06-20 |
| 1396192241 | Anderson Endoscopy Center LLC | Clinic/Center | 7661 Beechmont Ave, Suite 100, Cincinnati, OH 45255-4216 | 2016-05-20 |
| 1174852461 | Mayfield Spine Surgery Center LLC | Clinic/Center | 4020 Smith Rd, Cincinnati, OH 45209-1936 | 2009-12-15 |
| 1053508077 | Journey Lite of Cincinnati, LLC | Clinic/Center | 10475 Reading Road, Suite 115, Cincinnati, OH 45241 | 2007-10-03 |
| 1578603007 | David M. Schneider, Md Inc. | Clinic/Center | 119 W Kemper Rd, Cincinnati, OH 45246-2511 | 2007-02-07 |
| 1255345229 | Beacon Orthopaedics Surgery Center, LLC | Clinic/Center | 501 E-business Way, Cincinnati, OH 45241 | 2006-07-27 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45245 |
Please comment or provide details below to improve the information on SURGERY CENTER OF CINCINNATI, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.