Reconstructive Surgical Associates LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

RECONSTRUCTIVE SURGICAL ASSOCIATES LLC

Practice address

1020 Dennison Ave Ste 200
Columbus, OH 43201-3631

Phone

(614) 618-9018

Fax

(614) 368-1403

NPI assigned

Jun 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Christopher David McClung, MD

Title

Physician / Owner

Phone

(614) 315-0624

Specialties & licenses 3

Addresses

Other names 1

• RSA LLC Doing business as

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1780314997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 DENNISON AVE STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013631",
            "telephone_number": "614-618-9018",
            "fax_number": "614-368-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 DENNISON AVE STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013631",
            "telephone_number": "614-618-9018",
            "fax_number": "614-368-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECONSTRUCTIVE SURGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-13",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "MCCLUNG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "614-315-0624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RSA LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RSA LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.