Active NPI
West Central Ohio Aesthetic & Reconstructive Surgery, Inc.
- Plastic Surgery Physician
- Delphos, OH
National Provider Identifier
1518012244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 35062878
- Legal business name
- WEST CENTRAL OHIO AESTHETIC & RECONSTRUCTIVE SURGERY, INC.
- Practice address
- 1800 E 5TH St
Suite #2
Delphos, OH 45833-9139 - Phone
- (419) 996-5645
- Fax
- (419) 996-5458
- NPI assigned
- Jan 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Alan Slaby, M.D.
- Title
- President
- Phone
- (419) 996-5645
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 35062878 | OH | Primary |
Addresses
Primary practice location
1800 E 5TH St
Suite #2
Delphos, OH 45833-9139
Mailing address
PO Box 748
Lima, OH 45802-0748
Phone (419) 996-5645
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518012244 | Other | OH | ANTHEM BCBS |
| 22000000168747 | Other | OH | ANTHEM BCBS |
| 000000168747 | Other | OH | ANTHEM BCBS |
| 2061647 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
658 W Market St
Ste 208
Lima, OH 45801
Phone (419) 991-0303
770 W High St
Ste 230
Lima, OH 45801
Phone (419) 226-9341
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Wooster, OH
- NPI 1699781724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1518012244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748",
"city": "LIMA",
"state": "OH",
"postal_code": "458020748",
"telephone_number": "419-996-5645",
"fax_number": "419-996-5458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E 5TH ST",
"address_2": "SUITE #2",
"city": "DELPHOS",
"state": "OH",
"postal_code": "458339139",
"telephone_number": "419-996-5645",
"fax_number": "419-996-5458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST CENTRAL OHIO AESTHETIC & RECONSTRUCTIVE SURGERY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "SLABY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-996-5645",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "OH",
"license": "35062878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "1518012244",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "22000000168747",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000168747",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2061647",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delphos, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.