Greater Dayton Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

0815AS Issued in OH

Legal business name

GREATER DAYTON SURGERY CENTER LLC

Practice address

1625 Delco Park Dr.
Dayton, OH 45420-1391

Phone

(937) 535-2200

Fax

(937) 535-2201

NPI assigned

Nov 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevin Joseph Paley, MD

Title

President Board of Managers

Phone

(937) 298-4417

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Greater Dayton Surgery CenterCCN 36C0001220

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Kettering Medical Center

  • Long Term Care Pharmacy
  • Miamisburg, OH
  • NPI 1205005063

  Member Of

  NPD member
• Kettering Medical Center

  • Home Health Agency
  • Kettering, OH
  • NPI 1336257872

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Patrick Romer, M.D.

  • Orthopaedic Surgery Physician
  • Dayton, OH
  • NPI 1720433030
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104996768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 DELCO PARK DR.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201391",
            "telephone_number": "937-535-2200",
            "fax_number": "937-535-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 DELCO PARK DR.",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201391",
            "telephone_number": "937-535-2200",
            "fax_number": "937-535-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER DAYTON SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT BOARD OF MANAGERS",
        "authorized_official_telephone_number": "937-298-4417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0815AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamecce Grayson
• La'Torya Grayson
• Great Health Inc.
• Greater Care Transportation
• Greater Dayton Rta
• Greater Hope Therapeutic Services
• Greater Nights Homecare LLC
• Nateka Monique Greathouse
• Shonta Michelle Greathouse, ASSOCIATES
• Marcie Elise Grebner, MPT

• Ambulatory Surgical Clinic/Center in Dayton, OH
• Providers in Dayton, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.