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Southwest Surgical Partners LLC

Ambulatory Surgical Clinic/Center in Beavercreek, OH · enumerated 2006 · authorized official Larry Gault, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336128479

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Registry record

Entity type Organization (Type 2)
Legal business name Southwest Surgical Partners LLC
Other name <Unavail>
Practice address 3559 Kemp Rd, Suite 120, Beavercreek, OH, 45431
Fax (937) 458-4119
Enumeration date Jan 16, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities · License 0558AS (OH) Primary

Authorized official

Name Larry Gault
Title Administrator

Other identifiers

Identifier Type State Issuer
2139948 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Southwest Surgical Partners LLC located?
The practice location on file with NPPES is in Beavercreek, OH.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.