Aesthetic Reconstructive Tattoos of Ohio

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

COA 14765-NP Issued in OH

Legal business name

AESTHETIC RECONSTRUCTIVE TATTOOS OF OHIO

Practice address

1834 Oakland Ave
Portsmouth, OH 45662-2934

Phone

(740) 244-8266

NPI assigned

Nov 18, 2015

Last updated

Nov 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy J Flinders, MSN, RN, FNP-BC

Title

Nurse Practitioner

Phone

(740) 357-4503

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1588038236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 OAKLAND AVE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456629310",
            "telephone_number": "740-244-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 OAKLAND AVE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622934",
            "telephone_number": "740-244-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC RECONSTRUCTIVE TATTOOS OF OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "FLINDERS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "740-357-4503",
        "authorized_official_credential": "MSN, RN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "COA 14765-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089230",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judson Boyd Adkins, DPT
• Melissa Dawn Adkins
• Ryan R Adkins
• Advantage Home Health Care, Inc.
• Advantage Skilled Care, L.L.C.
• Agape House Counseling LLC
• Angela K Ailes-Frick, M.D.
• Air Evac EMS Inc. (Air Evac Lifeteam)
• Shanawar Alam, M.D.
• Zachary Brett Albert

• Primary Care Clinic/Center in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.