11TH ST SURGICAL LLC NPI 1215620877

NPI Information

NPI: 1215620877
Provider Name: 11TH ST SURGICAL LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1534 11TH ST
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 355-1161
Get Directions

11TH ST SURGICAL LLC is an ambulatory surgical clinic center in Portsmouth, OH. 11TH ST SURGICAL LLC NPI is 1215620877. The provider is registered as an organization entity type.

The provider's business location address is:

1534 11TH ST
PORTSMOUTH, OH
ZIP 45662-524
Phone: (740) 355-1161

The provider's authorized official is Tillie Andrade .
The authorized official title is Credentialing Specialist and has the following contact phone number (702) 449-9173.

The enumeration date for this NPI number is 5/31/2023 and was last updated on 4/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes
2	261QS0132X	Clinic/Center	Ophthalmologic Surgery			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »