Surgery Center of Southwest Ohio, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGERY CENTER OF SOUTHWEST OHIO, LLC

Practice address

2210 Arbor Blvd Ste 1a
Moraine, OH 45439-1522

Phone

(615) 397-9187

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

William Gavigan

Title

Member Manager

Phone

(615) 397-9187

Specialties & licenses 1

Addresses

Other names 1

• The Surgery Center of Southwest Ohio Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Listed as

Surgery Center of Southwest Ohio LLC Dba the Surgery Center of Southwest OhioCCN 36C0001353

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

Member of 1

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

• Kettering Medical Center

  • Home Health Agency
  • Kettering, OH
  • NPI 1336257872

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William John Dowling Turner, MD

  • Otolaryngology Physician
  • Dayton, OH
  • NPI 1730169376
  NPD (past)

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1568094399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 CROSSROADS BLVD STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272826",
            "telephone_number": "615-397-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 ARBOR BLVD STE 1A",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391522",
            "telephone_number": "615-397-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGERY CENTER OF SOUTHWEST OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "GAVIGAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "615-397-9187"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Surgery Center of Southwest Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Stubbs, LPN
• Katelyn Marie Studebaker
• Sachchida Subedi
• Donna L Suiters
• Deborah Suman, RN
• Jennifer Lynn Suter
• Carla S Sutton, L.S.W.
• John Franklin Swann, PCC(S)
• Kennedy Claudine Swann
• Ellen L Swartz, LSW

• Ambulatory Surgical Clinic/Center in Moraine, OH
• Providers in Moraine, 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 Aug 11, 2021; 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.