Organization Active NPI

Wellington Specialty Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1194341768
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WELLINGTON SPECIALTY SURGERY CENTER, LLC
Practice address
4355 Ferguson Dr Ste 190
Cincinnati, OH 45245-5137
Phone
(513) 753-1940
Fax
(513) 752-0579
NPI assigned
Jun 19, 2020
Last updated
Mar 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Faith Howard, RN, BSN
Title
Nurse Administrator
Phone
(513) 735-1940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4355 Ferguson Dr Ste 190
Cincinnati, OH 45245-5137

Mailing address

4355 Ferguson Dr Ste 190
Cincinnati, OH 45245-5137
Phone (513) 753-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200716000737 OH Part B Supplier - Ambulatory Surgical Center 3274957832 Practice locations: Cincinnati, OH

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Wellington Specialty Surgery Center LLCCCN 36C0001331
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2188850Wellington Specialty Surgery Center, LLC4355 Ferguson Drive, Cincinnati, OH 45245Certificate of waiverJul 22, 2028

National Provider Directory

National Provider Directory

Locations

4355 Ferguson Dr
Ste 190
Cincinnati, OH 45245
Phone (360) 903-1036

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1194341768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 FERGUSON DR STE 190",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452455137",
            "telephone_number": "513-753-1940",
            "fax_number": "513-752-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 FERGUSON DR STE 190",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452455137",
            "telephone_number": "513-753-1940",
            "fax_number": "513-752-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON SPECIALTY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "NURSE ADMINISTRATOR",
        "authorized_official_telephone_number": "513-735-1940",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 30, 2021; 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.