NPIMap

Organization Active NPI

Orthopedic Associates of S W Ohio, Inc

  • Orthopaedic Surgery Physician
  • Centerville, OH
National Provider Identifier
1386965044
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4370 Issued in OH
Legal business name
ORTHOPEDIC ASSOCIATES OF S W OHIO, INC
Practice address
7677 Yankee St
Suite 110
Centerville, OH 45459-3475
Phone
(937) 415-9100
Fax
(937) 415-9191
NPI assigned
Jun 17, 2010
Organization subpart
Yes
Parent organization
ORTHOPEDIC ASSOCIATES OF S W OHIO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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 4370 OH Primary

Addresses

Primary practice location

7677 Yankee St
Suite 110
Centerville, OH 45459-3475

Mailing address

4160 Little York Rd
Suite 10
Dayton, OH 45414-5800
Phone (937) 428-0400

Other identifiers 1

IdentifierTypeStateIssuer
2831305MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Orthopedic Associates of S W Ohio7 organizations share this tax ID, including this one
Part of
Orthopedic Associates of S W Ohio

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4160 Little York Rd
Ste 10
Dayton, OH 45414
Phone 9374159100335

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1386965044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD",
            "address_2": "SUITE 10",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145800",
            "telephone_number": "937-428-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 YANKEE ST",
            "address_2": "SUITE 110",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454593475",
            "telephone_number": "937-415-9100",
            "fax_number": "937-415-9191"
        }
    ],
    "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": "2010-06-17",
        "last_updated": "2010-06-17",
        "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": "OH",
            "license": "4370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2831305",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.