Ohio Plastic and Reconstructive Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

OHIO PLASTIC AND RECONSTRUCTIVE SURGERY LLC

Practice address

112 Morey Dr
Marysville, OH 43040-1646

Phone

(615) 818-5580

NPI assigned

Jun 8, 2021

Organization subpart

No

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

Authorized official

Name

Stephen Poteet, MDNPI 1235286048

Title

Owner

Phone

(615) 818-5580

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

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

• Stephen J. Poteet, MD

  • Plastic Surgery Physician
  • Marysville, OH
  • NPI 1235286048
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1174190128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MOREY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401646",
            "telephone_number": "615-818-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MOREY DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401646",
            "telephone_number": "615-818-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO PLASTIC AND RECONSTRUCTIVE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "POTEET",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-818-5580",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eClinicalWorks",
            "affiliation": "N",
            "endpointDescription": "cloud medical record system",
            "address_1": "112 Morey Dr",
            "city": "Marysville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430401646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Morgan Colleen Obrien
• Jeanne Marie Oesch, MSW
• Haley Oglesbee, PHARMD
• Ohio CVS Stores LLC
• Ohio Penal Industries
• Ohio Psychiatric Connections, LLC
• Samantha Olson
• Brooks N Organ
• Chrystal R Orians
• Zachary William Orlins, DO

• Plastic Surgery Physician in Marysville, OH
• Providers in Marysville, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.