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LINCOLN PARK SURGERY CENTER
NPI 1912989526
Clinic/Center - Radiology in Kettering, OH

Active since November 18, 2005
500 LINCOLN PARK BLVD, SUITE 100, KETTERING, OH 45429(937) 424-5560(937) 424-5876 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Lincoln Park Surgery Center NPPES

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

LINCOLN PARK SURGERY CENTER (NPI 1912989526) is a healthcare organization registered as a radiology in Kettering, Ohio and active in the NPI registry since November 2005. The organization lists Jonathan Paley, Partner, as its authorized official.

NPPES Registry Identity

NPI1912989526
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameLINCOLN PARK SURGERY CENTER
Location Address500 LINCOLN PARK BLVD, SUITE 100Kettering, OH 45429-3492
Mailing Address500 Lincoln Park Blvd, Suite 100Kettering, OH 45429-3492 · (937) 424-5560 · Fax (937) 424-5876
Phone(937) 424-5560
Fax(937) 424-5876
Organization SubpartNo
Authorized OfficialJonathan PaleyPartner · (937) 424-5560
Enumeration DateNovember 18, 2005
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1912989526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
License✔ Licensed in OH · 1073-1C
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X · License 0730AS (OH)

Other Identifiers 1

Medicaid2483638OH

Other Providers at the Same Location NPPES 20

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

MS. NORIKO TSUCHIHASHI BANERJEE RN, CNP
Nurse Practitioner
500 LINCOLN PARK BLVD, SUITE 100
KETTERING, OH 45429
Montgomery County (937) 222-3118
DIANE CAROLAN STEGMAN PSYCHOTHERAPY LLC
Social Worker (Clinical)
500 LINCOLN PARK BLVD, SUITE 308
KETTERING, OH 45429
Montgomery County (937) 298-6288
NILESH SURESH MHASKAR MD
Internal Medicine (Nephrology)
500 LINCOLN PARK BLVD, SUITE 100
KETTERING, OH 45429
Montgomery County (937) 222-3118
NATALLIA MAROZ M.D.
Internal Medicine (Nephrology)
500 LINCOLN PARK BLVD, SUITE 100
KETTERING, OH 45429
Montgomery County (937) 222-3118
MRS. RACHEL J FLEENOR ST
500 LINCOLN PARK BLVD
KETTERING, OH 45429
Montgomery County (937) 293-5567
SIVA AMBALAVANAN MD
Internal Medicine (Nephrology)
500 LINCOLN PARK BLVD, SUITE 100
KETTERING, OH 45429
Montgomery County (937) 222-3118
JAYLA TREADWELL PA-C
Physician Assistant
500 LINCOLN PARK BLVD
KETTERING, OH 45429
Montgomery County (937) 222-3118
BIHU G SANDHIR M.D.
Internal Medicine
500 LINCOLN PARK BLVD, SUITE 110
KETTERING, OH 45429
Montgomery County (937) 531-5020

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 Lincoln Park Surgery Center's NPI number?

The NPI number for Lincoln Park Surgery Center is 1912989526. It was assigned to this organization in the NPPES registry on November 18, 2005.

Where is Lincoln Park Surgery Center located?

Lincoln Park Surgery Center is located at 500 Lincoln Park Blvd Suite 100, Kettering, OH 45429. The listed phone number is (937) 424-5560.

What is Lincoln Park Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

When was this NPI record last updated?

The NPPES record for Lincoln Park Surgery Center was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.