Active NPI
Advanced Aesthetics and Rejuvination Inc
- Plastic and Reconstructive Surgery Physician
- North Olmsted, OH
National Provider Identifier
1114248044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 1402156
- Legal business name
- ADVANCED AESTHETICS AND REJUVINATION INC
- Practice address
- 30701 Lorain Rd Ste a
North Olmsted, OH 44070-6325 - Phone
- (440) 274-5000
- Fax
- (440) 716-8608
- NPI assigned
- Jun 15, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David A Garcia, DO
- Title
- President
- Phone
- (440) 274-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 1402156 | OH | Primary |
Addresses
Primary practice location
30701 Lorain Rd Ste a
North Olmsted, OH 44070-6325
Mailing address
5661 Lake Shore Ave
Westerville, OH 43082-8174
Phone (440) 274-5000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276560000000",
"number": "1114248044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5661 LAKE SHORE AVE",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430828174",
"telephone_number": "440-274-5000",
"fax_number": "440-716-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30701 LORAIN RD STE A",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440706325",
"telephone_number": "440-274-5000",
"fax_number": "440-716-8608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED AESTHETICS AND REJUVINATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-15",
"last_updated": "2010-06-15",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "440-274-5000",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "OH",
"license": "1402156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Olmsted, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.