11TH ST SURGICAL LLC
NPI 1215620877
Clinic/Center - Ambulatory Surgical in Portsmouth, OH

Active since May 31, 2023
1534 11TH ST, PORTSMOUTH, OH 45662(740) 355-1161 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2024, May 31, 2023 (2 updates tracked since 2023).

About 11th St Surgical Llc NPPES

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

11TH ST SURGICAL LLC (NPI 1215620877) is a healthcare organization registered as an ambulatory surgical in Portsmouth, Ohio and active in the NPI registry since May 2023. The organization lists Tillie Andrade, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1215620877
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business Name11TH ST SURGICAL LLC
Location Address1534 11TH STPortsmouth, OH 45662-4524
Mailing Address1534 11th StPortsmouth, OH 45662-4524 · (740) 355-1161
Organization SubpartNo
Authorized OfficialTillie AndradeCredentialing Specialist · (702) 449-9173
Enumeration DateMay 31, 2023
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
NPI 1215620877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · Ophthalmologic SurgeryTaxonomy 261QS0132X
1534 11TH ST, Portsmouth, OH 45662

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.

Ophthalmology
1534 11TH ST
PORTSMOUTH, OH 45662
Ophthalmology
1534 11TH ST
PORTSMOUTH, OH 45662
Clinic/Center (Ophthalmologic Surgery)
1534 11TH ST
PORTSMOUTH, OH 45662
Ophthalmology
1534 11TH ST
PORTSMOUTH, OH 45662

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 11th St Surgical LLC's NPI number?

The NPI number for 11th St Surgical LLC is 1215620877. It was assigned to this organization in the NPPES registry on May 31, 2023.

Where is 11th St Surgical LLC located?

11th St Surgical LLC is located at 1534 11th St, Portsmouth, OH 45662. The listed phone number is (740) 355-1161.

What is 11th St Surgical 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 11th St Surgical LLC was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.