Organization Active NPI

East Surgical Group Inc

  • Surgery Physician
  • Hillsboro, OH
National Provider Identifier
1669442646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35050873 Issued in OH
Legal business name
EAST SURGICAL GROUP INC
Practice address
1404 North High St
Hillsboro, OH 45133
Phone
(937) 393-9494
Fax
(937) 393-8471
NPI assigned
Jan 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Linda R Welder, MDNPI 1437215423
Title
President
Phone
(937) 393-9494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 35050873 OH Primary

Addresses

Primary practice location

1404 North High St
Hillsboro, OH 45133

Mailing address

Box 839
1404 North High St
Hillsboro, OH 45133
Phone (937) 393-9494

Other identifiers 1

IdentifierTypeStateIssuer
0560834MedicaidOH

National Provider Directory

National Provider Directory

Locations

1010 Ohio Pike
Ste A
Cincinnati, OH 45245
Phone (513) 752-2202

1404 N High St
Ste A
Hillsboro, OH 45133
Phone (937) 393-9494

1404 N High St
#839
Hillsboro, OH 45133
Phone (937) 393-9494

Practitioners & affiliated clinicians

Practitioners 3

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": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669442646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 839",
            "address_2": "1404 NORTH HIGH ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "45133",
            "telephone_number": "937-393-9494",
            "fax_number": "937-393-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 NORTH HIGH ST",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "45133",
            "telephone_number": "937-393-9494",
            "fax_number": "937-393-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SURGICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELDER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-393-9494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35050873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0560834",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.