Miami Valley Ambulatory Surgery Center LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MIAMI VALLEY AMBULATORY SURGERY CENTER LTD

Practice address

1010 Woodman Dr
Dayton, OH 45432-1400

Phone

(937) 252-2000

Fax

(937) 252-1224

NPI assigned

May 21, 2007

Last updated

May 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Garima Gupta

Title

Credentialing Specialist

Phone

(937) 424-2215

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Listed as

Miami Valley Ambulatory Surgery Center LTDCCN 36C0001079

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

Practitioners 3

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.

• Patrick L Spencer, D.O.

  • Ophthalmology Physician
  • Dayton, OH
  • NPI 1861494304
  NPD
• Priyesh Mehta, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Dayton, OH
  • NPI 1811284326
  NPD (past)
• Hashem H Zokary, MD

  • Physical Medicine & Rehabilitation Physician
  • Southfield, MI
  • NPI 1578098026
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1366651242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321400",
            "telephone_number": "937-252-2000",
            "fax_number": "937-252-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321400",
            "telephone_number": "937-252-2000",
            "fax_number": "937-252-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VALLEY AMBULATORY SURGERY CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "GARIMA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "937-424-2215"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009972",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Mezni
• Adam Gary Mezoff, MD
• Miami Shores of Moraine, LLC
• Miami Valley Academies
• Miami Valley Acupuncture
• Miami Valley Cardiologists Inc.
• Miami Valley Colon and Rectal Surgeons Inc
• Miami Valley Emergency Specialists LLC
• Miami Valley Emergency Specialists, LLC
• Miami Valley Heart & Lung Surgeons, LLC

• 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 May 11, 2023; 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.