Healthcare Provider Details

I. General information

NPI: 1689536112
Provider Name (Legal Business Name): SOUTHWEST OHIO SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

913 LEBANON ST
MONROE OH
45050-1448
US

IV. Provider business mailing address

520 EATON AVE STE 100
HAMILTON OH
45013-2878
US

V. Phone/Fax

Practice location:
  • Phone: 513-896-2200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DILIP BEARELLY
Title or Position: PRESIDENT
Credential: MD
Phone: 573-256-9024