Fresenius Vascular Care Cincinnati ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FRESENIUS VASCULAR CARE CINCINNATI ASC LLC

Doing business as

Azura Surgery Center Cincinnati

Practice address

4600 Smith Rd Ste A4
Norwood, OH 45212-2793

Phone

(513) 351-2494

Fax

(513) 351-3174

NPI assigned

Nov 11, 2016

Last updated

Sep 13, 2024By 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

Gregg Miller, MDNPI 1942273560

Title

Authorized Official

Phone

(717) 515-4048

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Azura Surgery Center Cincinnati Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Fresenius Vascular Care Cincinnati ASC Dba Azura Surgery CenterCCN 36C0001305

Medicare certification status

ActiveFrom the Provider of Services file

Member of 2

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

• Fresenius Vascular Care Cincinnati LLC

  • Vascular & Interventional Radiology Physician
  • Norwood, OH
  • NPI 1346699121

  Member Of

  NPD member
• National Medical Care, Inc.

  dba Renal Care Center (RCC) of Johnson City

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Johnson City, TN
  • NPI 1215049044

  Member Of

  NPD member

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.

• Gregg Arthur Miller, MD

  • Nephrology Physician
  • Brooklyn, NY
  • NPI 1942273560
  Authorized official Same address or phone
• Bakhtiar K Mohamad Amin, MD

  • Nephrology Physician
  • Norwood, OH
  • NPI 1376896902
  NPD
• David Wanjohi Kabithe, MD

  • Surgery Physician
  • Moraine, OH
  • NPI 1790775914
  NPD (past)

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1437691177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419590",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022419590",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 SMITH RD STE A4",
            "city": "NORWOOD",
            "state": "OH",
            "postal_code": "452122793",
            "telephone_number": "513-351-2494",
            "fax_number": "513-351-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS VASCULAR CARE CINCINNATI ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "717-515-4048",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273202",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100574620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Azura Surgery Center Cincinnati",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Dubois, PHARM D
• Encompass Health Rehabilitation Hospital of Cincinnati, LLC (Encompass Health Rehabilitation Hospital of Cincinnati)
• Caroline Endsley
• Kurt Warren Ficker, DDS
• Aarthi Francis, PHARMD
• Fresenius Vascular Care Cincinnati LLC
• John Gaffney, CNP
• Leslie Alison Garnhum, LPN
• Bria Gore
• Jared Richard Graham, DDS

• Ambulatory Surgical Clinic/Center in Norwood, OH
• Providers in Norwood, 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 Sep 13, 2024; 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.