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

NPI Status: Active since January 16, 2006

Contact Information

3559 KEMP RD
SUITE 120
BEAVERCREEK, OH
ZIP 45431
Phone: (937) 458-4100
Fax: (937) 458-4119

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About BEAVERCREEK SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Beavercreek Surgery Center, a provider established in Beavercreek, Ohio operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1336128479 assigned on January 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 0558AS (OH). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Beavercreek Surgery Center. The authorized official of this NPI record is Mr. Larry Gault (Administrator)

NPI
1336128479
Provider Legal Name
SOUTHWEST SURGICAL PARTNERS LLC
Other Organization Name
BEAVERCREEK SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3559 KEMP RD SUITE 120 BEAVERCREEK, OH 45431
Location Phone
(937) 458-4100
Location Fax
(937) 458-4119
Mailing Address
3559 KEMP RD SUITE 120 BEAVERCREEK, OH 45431
Mailing Phone
(937) 458-4100
Mailing Fax
(937) 458-4119
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-16-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
0558AS
License State
OH

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LARRY GAULT

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(937) 458-4201

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2139948MEDICAID (05)OH 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336128479
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23662216414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 2 + 2 + 1 + 6 + 4 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1336128479 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336128479, enumerated in the NPI registry as an "organization" on January 16, 2006

The provider is located at 3559 Kemp Rd Suite 120 Beavercreek, Oh 45431 and the phone number is (937) 458-4100

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.