OrganizationActive
Southwest Surgical Partners LLC
NPI 1336128479 · Ambulatory Surgical Clinic/Center · Beavercreek, OH
Provider details
- NPI number
- 1336128479
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Gault, Administrator(937) 458-4201
- License
- 0558AS (OH)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
3559 Kemp Rd
Suite 120
Beavercreek, OH 45431-2533
Phone: (937) 458-4100
Fax: (937) 458-4119
Street-level locationGet directions
Mailing address
3559 Kemp Rd
Beavercreek, OH 45431-2533
Other names (DBA / former)
- Doing business as
- Beavercreek Surgery Center
Registry dates
- Enumerated
- 2006-01-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.