Organization Active NPI

Westside Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1275360703
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WESTSIDE SURGICAL CENTER LLC
Doing business as
WESTSIDE SURGICAL CENTER
Practice address
3310 Mercy Health Blvd Ste 120
Cincinnati, OH 45211-1121
Phone
(419) 996-5119
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Kimberly Ralston
Title
VP Reimbursement
Phone
(419) 996-5119

Specialties & licenses 1

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

Addresses

Primary practice location

3310 Mercy Health Blvd Ste 120
Cincinnati, OH 45211-1121

Mailing address

3310 Mercy Health Blvd Ste 120
Cincinnati, OH 45211-1121

Other names 1

  • WESTSIDE SURGICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250731003325 OH Part B Supplier - Ambulatory Surgical Center 4486162591 Practice locations: Cincinnati, OH

Ambulatory surgical center certification: CCN 36C0001371

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
Westside Surgical Center LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jan 23, 2026
Last certification
Jan 8, 2026
Ownership / control type
Proprietary
Facility address
3310 Mercy Health Blvd, Suite 120
Cincinnati, OH 45211

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
36D2317314Westside Surgical Center, LLC3310 Mercy Health Blvd, Suite 120, Cincinnati, OH 45211Certificate of waiverJan 21, 2027

National Provider Directory

National Provider Directory

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": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1275360703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 MERCY HEALTH BLVD STE 120",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 MERCY HEALTH BLVD STE 120",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111121",
            "telephone_number": "419-996-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTSIDE SURGICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.