# LINCOLN PARK SURGERY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912989526
- **Authorized official:** DR. JONATHAN PALEY MD (PARTNER)
- **Authorized official phone:** (937) 424-5560

## Contact information

- **Practice address:** 500 LINCOLN PARK BLVD, SUITE 100, KETTERING, OH 45429-3492
- **Practice address phone:** (937) 424-5560
- **Practice address fax:** (937) 424-5876
- **Mailing address:** 500 LINCOLN PARK BLVD, SUITE 100, KETTERING, OH 45429-3492
- **Mailing address phone:** (937) 424-5560
- **Mailing address fax:** (937) 424-5876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 0730AS | OH | — |
| 261QR0200X | Radiology Clinic/Center | 1073-1C | OH | Yes |

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 09/11/2025