Miami Valley Plastic Surgeons, Inc.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

MIAMI VALLEY PLASTIC SURGEONS, INC.

Practice address

1520 S Main St
Suite 200
Dayton, OH 45409-2698

Phone

(937) 228-5115

Fax

(937) 228-4591

NPI assigned

Apr 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth A Welty Jr., M.D.

Title

President

Phone

(937) 228-5115

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Renee Gano, PA-C

  • Orthopaedic Surgery of the Spine Physician
  • Springfield, OH
  • NPI 1477220093
  NPD (past)
• Keith Perrine, MD

  • Plastic Surgery Physician
  • Dayton, OH
  • NPI 1720198112
  NPD (past)
• Kenneth A Welty Jr, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Dayton, OH
  • NPI 1679645881
  NPD (past)
• Leigh A Breznay, PA-C, MPAS

  • Physician Assistant
  • Melbourne, FL
  • NPI 1396832440
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093837569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092698",
            "telephone_number": "937-228-5115",
            "fax_number": "937-228-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092698",
            "telephone_number": "937-228-5115",
            "fax_number": "937-228-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VALLEY PLASTIC SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELTY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-228-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miami Valley Hospital
• Miami Valley Hospital
• Miami Valley Hospitalist Group
• Miami Valley in-Ovations, Inc.
• Miami Valley Medical Equipment Inc
• Miami Valley Recovery, LLC
• Miami Valley Recovery, LLC
• Miami Valley Urgent Care LLC
• Humza Moghis Mian, MD
• Iqra Choudhry Mian, MD

• Plastic and Reconstructive Surgery Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Plastic and Reconstructive Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.