OrganizationActive
11th St Surgical LLC
NPI 1215620877 · Ambulatory Surgical Clinic/Center · Portsmouth, OH
Provider details
- NPI number
- 1215620877
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tillie Andrade, Credentialing Specialist(702) 449-9173
Specialties & taxonomies
Ambulatory Health Care Facilities
- Ophthalmologic Surgery Clinic/Center261QS0132X
Ambulatory Health Care Facilities
Practice location
1534 11th St
Portsmouth, OH 45662-4524
Phone: (740) 355-1161
Approximate (ZIP-level) locationGet directions
Mailing address
1534 11th St
Portsmouth, OH 45662-4524
Registry dates
- Enumerated
- 2023-05-31
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.