Active NPI
Psi Surgery Center, LLC.
- Medical Specialty Clinic/Center
- Centerville, OH
National Provider Identifier
1992738751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 0727AS
- Legal business name
- PSI SURGERY CENTER, LLC.
- Practice address
- 9985 Dayton Lebanon Pike
Centerville, OH 45458 - Phone
- (937) 886-2985
- Fax
- (937) 886-2982
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steve Paul Schmidt, M.D.
- Title
- President
- Phone
- (937) 886-2985
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 0727AS | OH | Primary |
Addresses
Primary practice location
9985 Dayton Lebanon Pike
Centerville, OH 45458
Mailing address
9985 Dayton Lebanon Pike
Centerville, OH 45458
Phone (937) 886-2985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040206000174 | OH | Part B Supplier - Ambulatory Surgical Center | 4385537950 | Practice locations: Centerville, OH |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Psi Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1015181 | Psi Surgery Center LLC | Certificate of waiver | Jul 24, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Centerville, OH
- NPI 1649554270
-
- Specialist
- Centerville, OH
- NPI 1306879218
-
- Surgery Physician
- Centerville, OH
- NPI 1417161753
-
- Plastic Surgery Physician
- Centerville, OH
- NPI 1447754403
-
- Specialist
- Centerville, OH
- NPI 1306860002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992738751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9985 DAYTON LEBANON PIKE",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45458",
"telephone_number": "937-886-2985",
"fax_number": "937-886-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9985 DAYTON LEBANON PIKE",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45458",
"telephone_number": "937-886-2985",
"fax_number": "937-886-2982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSI SURGERY CENTER, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-886-2985",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "OH",
"license": "0727AS",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, 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.
- 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.