Active NPI
Knightsbridge Surgery Center, LTD
- Ambulatory Surgical Clinic/Center
- Columbus, OH
National Provider Identifier
1992882153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 0654AS
- Legal business name
- KNIGHTSBRIDGE SURGERY CENTER, LTD
- Practice address
- 4845 Knightsbridge Blvd
Suite 110
Columbus, OH 43214-2463 - Phone
- (614) 273-0400
- Fax
- (614) 273-0401
- NPI assigned
- Nov 1, 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. Philip H Taylor, M.D.
- Title
- Chairman of the Board
- Phone
- (614) 273-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 0654AS | OH | Primary |
Addresses
Primary practice location
4845 Knightsbridge Blvd
Suite 110
Columbus, OH 43214-2463
Mailing address
4845 Knightsbridge Blvd
Suite 110
Columbus, OH 43214-2463
Phone (614) 273-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2354321 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100308000478 | OH | Part B Supplier - Ambulatory Surgical Center | 8527103142 | Practice locations: Columbus, OH |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Knightsbridge Surgery Center
- 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 |
|---|---|---|---|
| 36D0986671 | Knightsbridge Surgery Center | Certificate of waiver | May 20, 2027 |
National Provider Directory
National Provider DirectoryMember 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": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992882153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4845 KNIGHTSBRIDGE BLVD",
"address_2": "SUITE 110",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432142463",
"telephone_number": "614-273-0400",
"fax_number": "614-273-0401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4845 KNIGHTSBRIDGE BLVD",
"address_2": "SUITE 110",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432142463",
"telephone_number": "614-273-0400",
"fax_number": "614-273-0401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNIGHTSBRIDGE SURGERY CENTER, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
"authorized_official_telephone_number": "614-273-0400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "OH",
"license": "0654AS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2354321",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, 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.