Advanced Breast & Cosmetic Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ADVANCED BREAST & COSMETIC SURGERY CENTER

Practice address

2361 Lakeview Dr
Beavercreek, OH 45431-3695

Phone

(937) 704-2130

Fax

(937) 703-2140

NPI assigned

Mar 17, 2008

Organization subpart

Yes

Parent organization

ADVANCED BREAST & COSMETIC SURGERY, INC.As reported in NPPES

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

Authorized official

Name

Dr. William C Rigano, MD

Title

President

Phone

(937) 293-3800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Advanced Breast Cosmetic S2 organizations share this tax ID, including this one

Part of

Advanced Breast Cosmetic S

Other organizations with this tax ID 1

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

• Advanced Breast & Cosmetic Surgery Inc

  • Plastic Surgery Physician
  • Kettering, OH
  • NPI 1811098452
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Advanced Breast & Cosmetic Surgery Inc

  • Plastic Surgery Physician
  • Kettering, OH
  • NPI 1811098452
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ron Michael Johnson, MD

  • Plastic and Reconstructive Surgery Physician
  • Kettering, OH
  • NPI 1093771081
  NPD
• Sunishka M Wimalawansa, M.D., M.B.A.

  • Plastic and Reconstructive Surgery Physician
  • Beavercreek, OH
  • NPI 1124272976
  NPD

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1578734760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINCOLN PARK BLVD STE 255",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293492",
            "telephone_number": "937-293-3800",
            "fax_number": "937-293-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2361 LAKEVIEW DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313695",
            "telephone_number": "937-704-2130",
            "fax_number": "937-703-2140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Lincoln Park Blvd",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454293492",
            "country_code": "US",
            "telephone_number": "937-293-3800",
            "fax_number": "937-293-9549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED BREAST & COSMETIC SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED BREAST & COSMETIC SURGERY, INC.",
        "enumeration_date": "2008-03-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "RIGANO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-293-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "6800546",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulatory Surgical Clinic/Center in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.