Organization Active NPI

JS Aesthetics

  • Geriatric Medicine (Family Medicine) Physician
  • Xenia, OH
National Provider Identifier
1780009928
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
34007948 Issued in OH
Legal business name
JS AESTHETICS
Practice address
2400 Passage Key TRL
Xenia, OH 45385-9212
Phone
(937) 371-7000
Fax
(937) 534-0166
NPI assigned
Feb 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Dr. Jodi Sperber, DO
Title
President
Phone
(937) 371-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 34007948 OH Primary

Addresses

Primary practice location

2400 Passage Key TRL
Xenia, OH 45385-9212

Mailing address

2400 Passage Key TRL
Xenia, OH 45385-9212
Phone (937) 371-7000

Other identifiers 1

IdentifierTypeStateIssuer
2538025MedicaidOH

National Provider Directory

National Provider Directory

Locations

3445 S Dixie Dr
Ste 200
Moraine, OH 45439

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1780009928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PASSAGE KEY TRL",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453859212",
            "telephone_number": "937-371-7000",
            "fax_number": "937-534-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PASSAGE KEY TRL",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453859212",
            "telephone_number": "937-371-7000",
            "fax_number": "937-534-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "SPERBER",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-371-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34007948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2538025",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.