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GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC
NPI 1073828315
Clinic/Center - Ambulatory Surgical in Dayton, OH

Active since August 11, 2010
3025 GOVERNORS PLACE BLVD, DAYTON, OH 45409(937) 293-5567(937) 293-5568 Get Directions Write a Review

NPPES record last updated: August 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Governor's Place Ambulatory Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC (NPI 1073828315) is a healthcare organization registered as an ambulatory surgical in Dayton, Ohio and active in the NPI registry since August 2010. The organization lists Heidi B Donnelly, Owner/president Ceo, as its authorized official.

NPPES Registry Identity

NPI1073828315
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGOVERNOR'S PLACE AMBULATORY SURGERY CENTER LLC
Location Address3025 GOVERNORS PLACE BLVDDayton, OH 45409-1330
Mailing Address3025 Governors Place BlvdDayton, OH 45409-1330 · (937) 293-5567 · Fax (937) 293-5568
Phone(937) 293-5567
Fax(937) 293-5568
Organization SubpartNo
Authorized OfficialHeidi B DonnellyOwner/president Ceo · (937) 293-5567
Enumeration DateAugust 11, 2010
✔ NPI 1073828315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in OH · 1936460
3025 GOVERNORS PLACE BLVD, Dayton, OH 45409
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARCUS L. ELIAS MD
Dermatology
3025 GOVERNORS PLACE BLVD
DAYTON, OH 45409
Montgomery County (937) 293-5567
MARTHA A HICKMANN MD
Dermatology (Procedural Dermatology)
3025 GOVERNORS PLACE BLVD
DAYTON, OH 45409
Montgomery County (937) 293-5567
DAYTON SKIN SURGERY CENTER INC
Dermatology (MOHS-Micrographic Surgery)
3025 GOVERNORS PLACE BLVD
DAYTON, OH 45409
Montgomery County (937) 293-5567
DR. HEIDI B DONNELLY M.D.
Dermatology (MOHS-Micrographic Surgery)
3025 GOVERNORS PLACE BLVD
DAYTON, OH 45409
Montgomery County (937) 293-5567

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Governor's Place Ambulatory Surgery Center LLC's NPI number?

The NPI number for Governor's Place Ambulatory Surgery Center LLC is 1073828315. It was assigned to this organization in the NPPES registry on August 11, 2010.

Where is Governor's Place Ambulatory Surgery Center LLC located?

Governor's Place Ambulatory Surgery Center LLC is located at 3025 Governors Place Blvd, Dayton, OH 45409. The listed phone number is (937) 293-5567.

What is Governor's Place Ambulatory Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Governor's Place Ambulatory Surgery Center LLC was last updated on August 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.