Active NPI
Orthopedic Associates of S W Ohio, Inc
- Orthopaedic Surgery Physician
- Beavercreek, OH
National Provider Identifier
1023317906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ORTHOPEDIC ASSOCIATES OF S W OHIO, INC
- Practice address
- 2510 Commons Blvd
Suite 200a
Beavercreek, OH 45431-3820 - Phone
- (937) 433-3460
- NPI assigned
- Mar 18, 2011
- Last updated
- Mar 18, 2011
- Organization subpart
- Yes
- Parent organization
- ORTHOPEDIC ASSOCIATES OF S W OHIO, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela M Layman
- Title
- Credentialing Coordinator
- Phone
- (937) 415-9100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NU | Primary |
Addresses
Primary practice location
2510 Commons Blvd
Suite 200a
Beavercreek, OH 45431-3820
Mailing address
PO Box 713130
Cincinnati, OH 45271-0001
Phone (937) 415-9100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN6188 | Other | OH | RR MEDICARE |
| 2831305 | Medicaid | OH |
National Provider Directory
National Provider Directory- Part of
- Orthopedic Associates of S W Ohio
Locations
2510 Commons Blvd
Ste 200A
Beavercreek, OH 45431
Phone (937) 433-3460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300406400000",
"number": "1023317906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713130",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452710001",
"telephone_number": "937-415-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 COMMONS BLVD",
"address_2": "SUITE 200A",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313820",
"telephone_number": "937-433-3460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC ASSOCIATES OF S W OHIO, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHOPEDIC ASSOCIATES OF S W OHIO, INC",
"enumeration_date": "2011-03-18",
"last_updated": "2011-03-18",
"status": "A",
"authorized_official_last_name": "LAYMAN",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "937-415-9100",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DN6188",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2831305",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.