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BEAVERCREEK SURGERY CENTER
NPI 1336128479
Clinic/Center - Ambulatory Surgical in Beavercreek, OH

Active since January 16, 2006
3559 KEMP RD, SUITE 120, BEAVERCREEK, OH 45431(937) 458-4100(937) 458-4119 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Beavercreek Surgery Center NPPES

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

BEAVERCREEK SURGERY CENTER (NPI 1336128479) is a healthcare organization registered as an ambulatory surgical in Beavercreek, Ohio and active in the NPI registry since January 2006. The organization lists Larry Gault, Administrator, as its authorized official.

NPPES Registry Identity

NPI1336128479
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSOUTHWEST SURGICAL PARTNERS LLC
Location Address3559 KEMP RD, SUITE 120Beavercreek, OH 45431-2533
Mailing Address3559 Kemp Rd, Suite 120Beavercreek, OH 45431-2533 · (937) 458-4100 · Fax (937) 458-4119
Phone(937) 458-4100
Fax(937) 458-4119
Organization SubpartNo
Authorized OfficialLarry GaultAdministrator · (937) 458-4201
Enumeration DateJanuary 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336128479 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 · 0558AS
3559 KEMP RD, Beavercreek, OH 45431
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Other Names 1

Doing Business AsBeavercreek Surgery Center

Other Identifiers 1

Medicaid2139948OH

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 Southwest Surgical Partners LLC's NPI number?

The NPI number for Southwest Surgical Partners LLC is 1336128479. It was assigned to this organization in the NPPES registry on January 16, 2006. The provider is doing business as Beavercreek Surgery Center.

Where is Southwest Surgical Partners LLC located?

Southwest Surgical Partners LLC is located at 3559 Kemp Rd Suite 120, Beavercreek, OH 45431. The listed phone number is (937) 458-4100.

What is Southwest Surgical Partners 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 Southwest Surgical Partners 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 6 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.