Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

11th St Surgical LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1215620877

11th St Surgical LLC is an Ambulatory Surgical Clinic/Center in Portsmouth, Ohio. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1534 11th St
Portsmouth, OH 45662-4524
Phone: (740) 355-1161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Ophthalmologic Surgery Clinic/Center Taxonomy 261QS0132X

Record details

NPI number1215620877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tillie Andrade — Credentialing Specialist · (702) 449-9173
NPI enumeratedMay 31, 2023
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024
Mailing address1534 11th St, Portsmouth, OH 45662-4524

Other providers in Portsmouth