NPIMap

Organization Active NPI

J&W Surgical Services LLC

Doing business as Advanced Plastic and Hand Surgery

  • Plastic and Reconstructive Surgery Physician
  • Kettering, OH
National Provider Identifier
1194330084
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
J&W SURGICAL SERVICES LLC
Doing business as
Advanced Plastic and Hand Surgery
Practice address
580 Lincoln Park Blvd Ste 255
Kettering, OH 45429-3493
Phone
(937) 949-8457
Fax
(937) 949-8695
NPI assigned
Sep 9, 2020
Last updated
Sep 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Ron Johnson, MDNPI 1093771081
Title
Owner
Phone
(937) 949-8457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

580 Lincoln Park Blvd Ste 255
Kettering, OH 45429-3493

Mailing address

580 Lincoln Park Blvd Ste 255
Kettering, OH 45429-3493
Phone (937) 949-8457

Other names 1

  • Advanced Plastic and Hand Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

580 Lincoln Park Blvd
Ste 255
Kettering, OH 45429
Phone (937) 266-4668

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1194330084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 LINCOLN PARK BLVD STE 255",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293493",
            "telephone_number": "937-949-8457",
            "fax_number": "937-949-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 LINCOLN PARK BLVD STE 255",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293493",
            "telephone_number": "937-949-8457",
            "fax_number": "937-949-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&W SURGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-949-8457",
        "authorized_official_credential": "MD"
    },
    "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": [
        {
            "organization_name": "Advanced Plastic and Hand Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.