Organization Active NPI

West Central Ohio Aesthetic & Reconstructive Surgery, Inc.

  • Plastic Surgery Physician
  • Delphos, OH
National Provider Identifier
1518012244
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35062878 Issued in OH
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

Updated by the provider on Apr 20, 2008

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.NPI 1699781724
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)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1518012244OtherOHANTHEM BCBS
22000000168747OtherOHANTHEM BCBS
000000168747OtherOHANTHEM BCBS
2061647MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.