Sps18, LLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

35081746 Issued in OH

Legal business name

SPS18, LLC

Doing business as

Smith Facial Plastics

Practice address

725 Buckles CT N Ste 210
Gahanna, OH 43230-6884

Phone

(614) 245-4263

Fax

(614) 245-4269

NPI assigned

Oct 13, 2014

Last updated

Apr 6, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Joyce A Beitzinger

Title

Practice Manager

Phone

(614) 245-4263

Specialties & licenses 1

Addresses

Other names 1

• Smith Facial Plastics Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott W Smith, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Gahanna, OH
  • NPI 1588005763
  Medicare reassignment Care Compare group NPD
• Stephen P. Smith Jr., M.D

  • Facial Plastic Surgery Physician
  • Gahanna, OH
  • NPI 1518923119
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1043614589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BUCKLES CT N STE 210",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306884",
            "telephone_number": "614-245-4263",
            "fax_number": "614-245-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BUCKLES CT N STE 210",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306884",
            "telephone_number": "614-245-4263",
            "fax_number": "614-245-4269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 University Estates Blvd Unit 100",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457012967",
            "country_code": "US",
            "telephone_number": "614-245-4263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPS18, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "BEITZINGER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "614-245-4263",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "OH",
            "license": "35081746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Facial Plastics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smith Facial Plastics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Facial Plastic Surgery Physician in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Facial Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.