Organization Active NPI

Breast Care Specialists, Inc.

  • Surgery Physician
  • Westerville, OH
National Provider Identifier
1265508386
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BREAST CARE SPECIALISTS, INC.
Practice address
477 Cooper Rd
Suite 310
Westerville, OH 43081-8053
Phone
(614) 865-9200
Fax
(614) 865-9800
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Stan P Muterspaugh
Title
Office Administrator
Phone
(614) 865-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

477 Cooper Rd
Suite 310
Westerville, OH 43081-8053

Mailing address

477 Cooper Rd
Suite 310
Westerville, OH 43081-8053
Phone (614) 865-9200

Other identifiers 1

IdentifierTypeStateIssuer
000000306646OtherOHANTHEM PIN NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1265508386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 COOPER RD",
            "address_2": "SUITE 310",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818053",
            "telephone_number": "614-865-9200",
            "fax_number": "614-865-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 COOPER RD",
            "address_2": "SUITE 310",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818053",
            "telephone_number": "614-865-9200",
            "fax_number": "614-865-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CARE SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "MUTERSPAUGH",
        "authorized_official_first_name": "STAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "614-865-9200"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "000000306646",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.