Southwest Ohio Ambulatory Surgery Center, LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

338 Issued in OH

Legal business name

SOUTHWEST OHIO AMBULATORY SURGERY CENTER, LTD

Practice address

295 N Breiel Blvd
Middletown, OH 45042-3807

Phone

(513) 425-0930

Fax

(513) 425-0960

NPI assigned

Jul 8, 2005

Organization subpart

No

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

Authorized official

Name

Jeff W. Nicolai

Title

Director Operations

Phone

(513) 425-7327

Specialties & licenses 1

Addresses

Other identifiers 3

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 1

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.

• Jerry B Magone, MD

  • Orthopaedic Surgery Physician
  • Middletown, OH
  • NPI 1821073230
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1538167176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423807",
            "telephone_number": "513-425-7327",
            "fax_number": "513-425-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 N BREIEL BLVD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423807",
            "telephone_number": "513-425-0930",
            "fax_number": "513-425-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST OHIO AMBULATORY SURGERY CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "NICOLAI",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR  OPERATIONS",
        "authorized_official_telephone_number": "513-425-7327"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200451270A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36001352",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2046057",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sos Primary Health Services LLC
• Sos Wellness LLC
• Sos Wellness LLC
• Jayla South
• Victoria Lee South, LPN
• Southwest Ohio OB/GYN Inc
• Meredith Sowder
• Sara Sowers-Collison, M.S.W., L.I.S.W.
• Nicole Renee Sparks, LPN
• John Sparlig

• Ambulatory Surgical Clinic/Center in Middletown, OH
• Providers in Middletown, 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 Jul 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.