11th St Surgical LLC
NPI 1215620877 · Ambulatory Surgical Clinic/Center · Portsmouth, OH
11th St Surgical LLC is a Ambulatory Surgical Clinic/Center organization in Portsmouth, OH (NPI 1215620877).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-31
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Frequently asked questions
- What is 11th St Surgical LLC's NPI number?
- 11th St Surgical LLC's National Provider Identifier (NPI) is 1215620877, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 11th St Surgical LLC?
- 11th St Surgical LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is 11th St Surgical LLC located?
- 11th St Surgical LLC's practice location on file with NPPES is 1534 11th St, Portsmouth, OH 45662-4524.
- What is 11th St Surgical LLC's phone number?
- The practice phone number listed in the NPPES registry for 11th St Surgical LLC is (740) 355-1161.
- Who is the authorized official for 11th St Surgical LLC?
- The authorized official listed on 11th St Surgical LLC's NPPES record is Tillie Andrade, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 11th St Surgical LLC's NPI active?
- Yes — 11th St Surgical LLC's NPI (1215620877) is active in the NPPES registry as of the last update on 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.