Organization Active NPI

Advanced Aesthetics and Rejuvination Inc

  • Plastic and Reconstructive Surgery Physician
  • North Olmsted, OH
National Provider Identifier
1114248044
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
1402156 Issued in OH
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

Updated by the provider on Jun 15, 2010

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.