Organization Active NPI

Ohio Neurosurgical Institute Inc

  • Neurological Surgery Physician
  • Dayton, OH
National Provider Identifier
1700819547
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
OHIO NEUROSURGICAL INSTITUTE INC
Practice address
30 E Apple St
Suite 6254
Dayton, OH 45409-2939
Phone
(937) 208-2780
Fax
(937) 208-2898
NPI assigned
Jul 7, 2006
Last updated
Jul 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
Heather Lynette Atkinson
Title
Manager
Phone
(937) 208-4812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

30 E Apple St
Suite 6254
Dayton, OH 45409-2939

Mailing address

30 E Apple St
Suite 6254
Dayton, OH 45409-2939
Phone (937) 208-2780

Other identifiers 9

IdentifierTypeStateIssuer
2536125MedicaidOH
2544643MedicaidOH
2544661MedicaidOH
2544705MedicaidOH
2147742MedicaidOH
2544723MedicaidOH
2544714MedicaidOH
2544625MedicaidOH
2544698MedicaidOH

National Provider Directory

National Provider Directory

Locations

2661 Salem Ave
Ste 115
Dayton, OH 45406
Phone (937) 274-7474

2661 Salem Ave
Ste 115
Dayton, OH 45406
Phone (937) 274-7474

30 E Apple St
Ste 6253
Dayton, OH 45409
Phone (937) 208-2088

30 E Apple St
Ste 6254
Dayton, OH 45409
Phone (937) 208-2780

130 Martz St
Ste A
Greenville, OH 45331
Phone (937) 208-2088

280 Looney Rd
Ste 202
Piqua, OH 45356
Phone (937) 208-2088

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1700819547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST",
            "address_2": "SUITE 6254",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-2780",
            "fax_number": "937-208-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST",
            "address_2": "SUITE 6254",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-2780",
            "fax_number": "937-208-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO NEUROSURGICAL INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "937-208-4812"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2536125",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2544643",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2544661",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2544705",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147742",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2544723",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2544714",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2544625",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2544698",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.