Organization Active NPI

Orthopedic Associates of S W Ohio, Inc

  • Orthopaedic Surgery Physician
  • Dayton, OH
National Provider Identifier
1275722506
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC ASSOCIATES OF S W OHIO, INC
Practice address
7700 Washington Village Dr
Suite 120
Dayton, OH 45459-3953
Phone
(937) 433-3460
Fax
(937) 433-2061
NPI assigned
Oct 23, 2007
Organization subpart
Yes
Parent organization
ORTHOPEDIC ASSOCIATES OF S W OHIO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Authorized official

Name
Angela M. Layman
Title
Credentialing Coordinator
Phone
(937) 415-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

7700 Washington Village Dr
Suite 120
Dayton, OH 45459-3953

Mailing address

PO Box 713130
Cincinnati, OH 45271-0001
Phone (937) 415-9100

Other identifiers 4

IdentifierTypeStateIssuer
0300436MedicaidOH
2831305MedicaidOH
200014379OtherOHMED RR
DN6188OtherOHRR MEDICARE

National Provider Directory

National Provider Directory
Part of
Orthopedic Associates of S W Ohio

Locations

1845 US Route 127 N
Eaton, OH 45320
Phone (937) 433-3460

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1275722506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713130",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452710001",
            "telephone_number": "937-415-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 WASHINGTON VILLAGE DR",
            "address_2": "SUITE 120",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593953",
            "telephone_number": "937-433-3460",
            "fax_number": "937-433-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES OF S W OHIO, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC ASSOCIATES OF S W OHIO, INC",
        "enumeration_date": "2007-10-23",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "LAYMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "937-415-9100"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0300436",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2831305",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED RR",
            "identifier": "200014379",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DN6188",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.