NPIMap

Organization Active NPI

Far Hills Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Kettering, OH
National Provider Identifier
1497804975
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0444AS Issued in OH
Legal business name
FAR HILLS SURGICAL CENTER
Practice address
3484 Far Hills Ave
Kettering, OH 45429-2518
Phone
(937) 294-9840
Fax
(937) 294-9843
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Galvin
Title
Administrator
Phone
(937) 294-9840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0444AS OH Primary

Addresses

Primary practice location

3484 Far Hills Ave
Kettering, OH 45429-2518

Mailing address

6601 Centerville Business Parkway
Suite 301
Centerville, OH 45429
Phone (937) 294-9840

Other identifiers 1

IdentifierTypeStateIssuer
2063681MedicaidOH

National Provider Directory

National Provider Directory

Member of 1

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

  • Mvhe Inc

    dba Premier Family Care of Mason

    • Family Medicine Physician
    • Mason, OH
    • NPI 1083841555

    Member Of

    NPD member

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497804975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 CENTERVILLE BUSINESS PARKWAY",
            "address_2": "SUITE 301",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-294-9840",
            "fax_number": "937-294-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3484 FAR HILLS AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292518",
            "telephone_number": "937-294-9840",
            "fax_number": "937-294-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAR HILLS SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-294-9840"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0444AS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2063681",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.