Gregory T Classen DO Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

34002808 Issued in OH

Legal business name

GREGORY T CLASSEN DO INC

Practice address

885 W Aurora Rd Ste 4
Sagamore Hills, OH 44067-1600

Phone

(330) 468-4554

Fax

(330) 468-4575

NPI assigned

Aug 20, 2010

Last updated

Sep 14, 2010By 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

Jessica Koprowski, CPC

Title

Office Manager

Phone

(330) 468-4554

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1760798318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 W AURORA RD STE 4",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440671600",
            "telephone_number": "330-468-4554",
            "fax_number": "330-468-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 W AURORA RD STE 4",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440671600",
            "telephone_number": "330-468-4554",
            "fax_number": "330-468-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY T CLASSEN DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "KOPROWSKI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-468-4554",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "34002808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Fitzpatrick, NP
• Andrew Lee Gardella, D.C
• Lori Lynn Gemma, D.O.
• Mary Glavan, R.PH.
• Danny Michael Greenwood, DDS
• Pamela Lynn Groppi, RN
• Hartman Respiratory Care
• Penelope L Hedman, CNP
• Mary K. Hephner, D.O.
• Deotis L Hollaman

• Plastic Surgery Physician in Sagamore Hills, OH
• Providers in Sagamore Hills, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.