Organization Active NPI

Kenwood ASC, LLC

Doing business as Kenwood Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1811952948
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0749AS Issued in OH
Legal business name
KENWOOD ASC, LLC
Doing business as
Kenwood Surgery Center
Practice address
8250 Kenwood Crossing Way
Suite 102
Cincinnati, OH 45236-3668
Phone
(513) 793-6011
NPI assigned
Apr 20, 2006
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Phillip A. Clendenin
Title
President
Phone
(615) 665-1823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0749AS OH Primary

Addresses

Primary practice location

8250 Kenwood Crossing Way
Suite 102
Cincinnati, OH 45236-3668

Mailing address

8250 Kenwood Crossing Way
Suite 102
Cincinnati, OH 45236-3668
Phone (513) 793-6011

Other names 1

  • Kenwood Surgery Center Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1811952948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 KENWOOD CROSSING WAY",
            "address_2": "SUITE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452363668",
            "telephone_number": "513-793-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 KENWOOD CROSSING WAY",
            "address_2": "SUITE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452363668",
            "telephone_number": "513-793-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENWOOD ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "CLENDENIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-665-1823"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "0749AS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kenwood Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.