GREATER DAYTON SURGERY CENTER LLC
NPI 1104996768
Clinic/Center - Ambulatory Surgical in Dayton, OH

Q: What is Greater Dayton Surgery Center LLC's NPI number?

The NPI number for Greater Dayton Surgery Center LLC is 1104996768. It was assigned to this organization in the NPPES registry on November 9, 2006.

Q: What is Greater Dayton Surgery Center LLC's specialty?

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

Active since November 09, 2006CLIA 36D1059176 · Waiver

1625 DELCO PARK DR., DAYTON, OH 45420(937) 535-2200(937) 535-2201 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Greater Dayton Surgery Center Llc NPPES

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

GREATER DAYTON SURGERY CENTER LLC (NPI 1104996768) is a healthcare organization registered as an ambulatory surgical in Dayton, Ohio and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Kevin Joseph Paley, President Board Of Managers, as its authorized official.

NPPES Registry Identity

NPI1104996768

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameGREATER DAYTON SURGERY CENTER LLC

Location Address1625 DELCO PARK DR.Dayton, OH 45420-1391

Mailing Address1625 Delco Park Dr.Dayton, OH 45420-1391 · (937) 535-2200 · Fax (937) 535-2201

Phone(937) 535-2200

Fax(937) 535-2201

Organization SubpartNo

Authorized OfficialKevin Joseph PaleyPresident Board Of Managers · (937) 298-4417

Enumeration DateNovember 9, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1104996768 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 · 0815AS

1625 DELCO PARK DR., Dayton, OH 45420

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1059176

Greater Dayton Surgery Center LLC · Dayton, OH

Active · expires Sep 24, 2026

CLIA Number36D1059176

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 25, 2024

Certificate Expiration DateSeptember 24, 2026

Laboratory DirectorMs. Julie Shore

Laboratory Phone(937) 535-2200

Laboratory LocationGreater Dayton Surgery Center LLC1625 Delco Park Drive, Dayton, OH 45420

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290

Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.

12,347 services46 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

212 services158 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

134 services125 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

63 services63 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

48 services34 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

46 services45 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

43 services43 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

43 services39 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

41 services41 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

37 services36 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

30 services29 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

25 services11 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

18 services16 patients

Removal of both knee cartilages using an endoscope 29880

This procedure, also known as bilateral knee arthroscopy, involves using a small camera (endoscope) to view and remove damaged cartilage from both knees. It's a minimally invasive surgery aimed at relieving pain and improving mobility.

15 services15 patients

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 Greater Dayton Surgery Center LLC's NPI number?

The NPI number for Greater Dayton Surgery Center LLC is 1104996768. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Greater Dayton Surgery Center LLC located?

Greater Dayton Surgery Center LLC is located at 1625 Delco Park Dr., Dayton, OH 45420. The listed phone number is (937) 535-2200.

What is Greater Dayton Surgery Center LLC's specialty?

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

Does Greater Dayton Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1059176) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Greater Dayton Surgery Center LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Greater Dayton Surgery Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Greater Dayton Surgery Center LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.