Organization Active NPI

Central Ohio Plastic Surgery Inc

  • Plastic Surgery Physician
  • Lancaster, OH
National Provider Identifier
1689691487
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
CENTRAL OHIO PLASTIC SURGERY INC
Practice address
2656 N Columbus St Ste a
Lancaster, OH 43130-8991
Phone
(740) 653-5064
Fax
(740) 653-6474
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Ms. Andrea M Barrett, CPC
Title
Billing Manager
Phone
(740) 653-5064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

2656 N Columbus St Ste a
Lancaster, OH 43130-8991

Mailing address

2656 N Columbus St Ste a
Lancaster, OH 43130-8991
Phone (740) 653-5064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050823000140 OH Part B Supplier - Clinic/Group Practice 9133150816 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Gahanna, OH; Lancaster, OH; Columbus, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

452 W 10th Ave
#M
Columbus, OH 43210

680 Buckles Ct N
Ste 2B
Gahanna, OH 43230
Phone (740) 653-5064

135 N Ewing St
Ste 202
Lancaster, OH 43130
Phone (740) 653-5064

2656 N Columbus St
Ste A
Lancaster, OH 43130
Phone (740) 653-5064

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1689691487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 N COLUMBUS ST STE A",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308991",
            "telephone_number": "740-653-5064",
            "fax_number": "740-653-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 N COLUMBUS ST STE A",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308991",
            "telephone_number": "740-653-5064",
            "fax_number": "740-653-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "740-653-5064",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.