NPIMap

Organization Active NPI

Orthopedic Associates of S W Ohio Inc,

  • Orthopaedic Surgery Physician
  • Fairborn, OH
National Provider Identifier
1609387984
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC ASSOCIATES OF S W OHIO INC,
Practice address
1002 Rainbow CT
Fairborn, OH 45324-6365
Phone
(800) 824-9861
NPI assigned
Oct 13, 2017
Last updated
Jan 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Angela Marie Layman
Title
Credentialing Coordinator
Phone
(937) 415-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

1002 Rainbow CT
Fairborn, OH 45324-6365

Mailing address

4160 Little York Rd Ste 10
Dayton, OH 45414-5803

Other identifiers 1

IdentifierTypeStateIssuer
2831305MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180302000239 OH DME Supplier - Physician - Orthopedic/Orthopedic Surgery 9638258874 Practice locations: Fairborn, OH

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Orthopedic Associates of S W Ohio7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2510 Commons Blvd
#240
Beavercreek, OH 45431

1250 W National Rd
Ste 100A
Englewood, OH 45315
Phone (937) 558-0200

1002 Rainbow Ct
Fairborn, OH 45324

732 Sweitzer St
Greenville, OH 45331
Phone (937) 316-8046

1010 Cereal Ave
Ste 103
Hamilton, OH 45013
Phone (513) 867-2622

8701 Troy Pike
#40B
Huber Heights, OH 45424
Phone (937) 439-6242

4859 Nixon Park Dr
Mason, OH 45040
Phone (513) 653-2911

360 W Central Ave
Ste 2
Springboro, OH 45066

650 Olympic Dr
Troy, OH 45373

10484 Kley Rd
Ste C
Versailles, OH 45380

Practitioners & affiliated clinicians

Practitioners 76

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.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1609387984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 LITTLE YORK RD STE 10",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454145803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 RAINBOW CT",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453246365",
            "telephone_number": "800-824-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES OF S W OHIO INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "LAYMAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "937-415-9100"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2831305",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairborn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.