NPIMap

Organization Active NPI

Ohio Valley Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Hudson, OH
National Provider Identifier
1558484386
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
34005727 Issued in OH
Legal business name
OHIO VALLEY PLASTIC SURGERY
Practice address
1320 Corporate Dr
Suite 100
Hudson, OH 44236-4442
Phone
(330) 650-0607
Fax
(330) 650-0533
NPI assigned
Apr 8, 2007
Last updated
Mar 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Dr. David Brian Dellinger, DONPI 1093785404
Title
Ceo
Phone
(330) 926-1123

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 and Reconstructive Surgery Physician 2086S0122X 34005727 OH Primary

Addresses

Primary practice location

1320 Corporate Dr
Suite 100
Hudson, OH 44236-4442

Mailing address

1320 Corporate Dr
Suite 100
Hudson, OH 44236-4442
Phone (330) 650-0607

National Provider Directory

National Provider Directory

Locations

1320 Corporate Dr
Ste 100
Hudson, OH 44236
Phone (330) 926-3240

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1558484386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CORPORATE DR",
            "address_2": "SUITE 100",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364442",
            "telephone_number": "330-650-0607",
            "fax_number": "330-650-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CORPORATE DR",
            "address_2": "SUITE 100",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364442",
            "telephone_number": "330-650-0607",
            "fax_number": "330-650-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-08",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "DELLINGER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-926-1123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "34005727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.