Dayton Orthopaedic Surgery & Sports Medicine Center

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

55720 Issued in OH

Legal business name

DAYTON ORTHOPAEDIC SURGERY & SPORTS MEDICINE CENTER

Practice address

5491 Far Hills Ave
Dayton, OH 45429-2325

Phone

(937) 436-5763

Fax

(937) 436-7399

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Melissa Hobbs

Title

Office Manager

Phone

(937) 436-5763

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

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

• Jonathan Joseph Paley, M.D.

  • Orthopaedic Surgery Physician
  • Dayton, OH
  • NPI 1508967316
  Medicare reassignment Care Compare group NPD
• Jonathan James Gillman, PA-C

  • Physician Assistant
  • Dayton, OH
  • NPI 1750474821
  Medicare reassignment Care Compare group
• Jennifer E Leibold, PA-C

  • Physician Assistant
  • Dayton, OH
  • NPI 1962710103
  Medicare reassignment

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851423545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5491 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292325",
            "telephone_number": "937-436-5763",
            "fax_number": "937-436-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5491 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292325",
            "telephone_number": "937-436-5763",
            "fax_number": "937-436-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON ORTHOPAEDIC SURGERY & SPORTS MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-436-5763"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OH",
            "license": "55720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayton Nursing & Rehabilitation Center LLC
• Dayton Occupational Consultants
• Dayton Occupational Medical Center LTD
• Dayton Optometric Center Inc.
• Dayton Optometric Center Inc.
• Dayton Orthopedic Center, Inc
• Dayton Osteopathic Hospital
• Dayton Osteopathic Hospital
• Dayton Osteopathic Hospital
• Dayton Osteopathic Hospital

• Sports Medicine (Orthopaedic Surgery) Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.