Active NPI
Advanced Aesthetic & Reconstructive Surgery Inc
- Plastic Surgery Physician
- Columbus, OH
National Provider Identifier
1013016047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- ADVANCED AESTHETIC & RECONSTRUCTIVE SURGERY INC
- Practice address
- 4845 Knightsbridge Blvd
Columbus, OH 43214-2463 - Phone
- (614) 235-2326
- Fax
- (614) 235-5194
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James D McMahan, MD
- Title
- President
- Phone
- (614) 235-2326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
4845 Knightsbridge Blvd
Columbus, OH 43214-2463
Mailing address
PO Box 13149
Columbus, OH 43213-0149
Phone (614) 235-2326
National Provider Directory
National Provider DirectoryLocations
4845 Knightsbridge Blvd
Ste 230
Columbus, OH 43214
Phone (614) 459-0060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413849600000",
"number": "1013016047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13149",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432130149",
"telephone_number": "614-235-2326",
"fax_number": "614-235-5194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4845 KNIGHTSBRIDGE BLVD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432142463",
"telephone_number": "614-235-2326",
"fax_number": "614-235-5194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED AESTHETIC & RECONSTRUCTIVE SURGERY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2014-10-21",
"status": "A",
"authorized_official_last_name": "MCMAHAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-235-2326",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.