Active NPI
HSC Surgical Associates of Cincinnati, LLC
- Ambulatory Surgical Clinic/Center
- Cincinnati, OH
National Provider Identifier
1144219908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0032AS
- Legal business name
- HSC SURGICAL ASSOCIATES OF CINCINNATI, LLC
- Practice address
- 2925 Vernon PL
Suite 101
Cincinnati, OH 45219-2425 - Phone
- (513) 872-4538
- Fax
- (513) 872-7625
- NPI assigned
- Oct 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Montgomery
- Title
- Officer/Authorized Official
- Phone
- (615) 545-9132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0032AS | OH | Primary |
Addresses
Primary practice location
2925 Vernon PL
Suite 101
Cincinnati, OH 45219-2425
Mailing address
2925 Vernon PL
Suite 101
Cincinnati, OH 45219-2425
Phone (513) 872-4538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0980827 | Medicaid | OH |
Other names 1
- Tri State Endoscopy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051215000223 | OH | Part B Supplier - Ambulatory Surgical Center | 4789605940 | Practice locations: Cincinnati, OH |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- HSC Surgical Associates of Cincinnati LLC
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Fairfield Endoscopy Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Fairfield, OH
- NPI 1457490872
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776988800000",
"number": "1144219908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 VERNON PL",
"address_2": "SUITE 101",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192425",
"telephone_number": "513-872-4538",
"fax_number": "513-872-7625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2925 VERNON PL",
"address_2": "SUITE 101",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192425",
"telephone_number": "513-872-4538",
"fax_number": "513-872-7625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HSC SURGICAL ASSOCIATES OF CINCINNATI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-14",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A",
"authorized_official_last_name": "MONTGOMERY",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-545-9132"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OH",
"license": "0032AS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0980827",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tri State Endoscopy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.