Organization Active NPI

Orthopedic Associates of S W Ohio

  • Orthopaedic Surgery Physician
  • Eaton, OH
National Provider Identifier
1548568603
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC ASSOCIATES OF S W OHIO
Practice address
450B Washington Jackson Rd
Eaton, OH 45320-8699
Phone
(937) 415-9100
NPI assigned
Mar 14, 2011
Last updated
Jun 26, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ORTHOPEDIC ASSOCIATES OF S W OHIO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Mrs. Angela 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

450B Washington Jackson Rd
Eaton, OH 45320-8699

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
DN6188OtherOHRR MEDICARE
2831305MedicaidOH

National Provider Directory

National Provider Directory
Part of
Orthopedic Associates of SW Ohio Inc

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1548568603",
    "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": "450B WASHINGTON JACKSON RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208699",
            "telephone_number": "937-415-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES OF S W OHIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOPEDIC ASSOCIATES OF S W OHIO, INC",
        "enumeration_date": "2011-03-14",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "LAYMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "937-415-9100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DN6188",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2831305",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.