Active NPI
Victor N Nanagas Jr., MD
- Pediatric Surgery Physician
- Dayton, OH
National Provider Identifier
1013016062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 35038754
- Practice address
- One Childrens Plaza
Ste 2071
Dayton, OH 45404 - Phone
- (937) 461-5020
- Fax
- (937) 641-3107
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 35038754 | OH | Primary |
Addresses
Primary practice location
One Childrens Plaza
Ste 2071
Dayton, OH 45404
Mailing address
4718 Eagles Nest Circle
Kettering, OH 45429
Phone (937) 293-3077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0388496 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35038754 | OH | MD | Pediatric Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1013016062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4718 EAGLES NEST CIRCLE",
"city": "KETTERING",
"state": "OH",
"postal_code": "45429",
"telephone_number": "937-293-3077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE CHILDRENS PLAZA",
"address_2": "STE 2071",
"city": "DAYTON",
"state": "OH",
"postal_code": "45404",
"telephone_number": "937-461-5020",
"fax_number": "937-641-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANAGAS",
"first_name": "VICTOR",
"middle_name": "N",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "OH",
"license": "35038754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0388496",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.