Organization Active NPI

Knightsbridge Surgery Center, LTD

  • Ambulatory Surgical Clinic/Center
  • Columbus, OH
National Provider Identifier
1992882153
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0654AS Issued in OH
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2354321MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CenterCCN 36C0001158
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0986671Knightsbridge Surgery Center4845 Knightsbridge Blvd, Columbus, OH 43214Certificate of waiverMay 20, 2027

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": "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.

Verify at the official NPI Registry.