Organization Active NPI

Orthopedic Associates of S W Ohio, Inc

  • Orthopaedic Surgery Physician
  • Beavercreek, OH
National Provider Identifier
1023317906
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHOPEDIC ASSOCIATES OF S W OHIO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DN6188OtherOHRR MEDICARE
2831305MedicaidOH

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.

Verify at the official NPI Registry.