Individual provider Active NPI

Jason Brett Lichten, M.D.

  • Plastic Surgery Physician
  • Lancaster, OH
National Provider Identifier
1871586180
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35084162 Issued in OH
Practice address
2656 N Columbus St Ste a
Lancaster, OH 43130-8991
Phone
(740) 653-5064
Fax
(740) 653-6474
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 35084162 OH Primary

Addresses

Primary practice location

2656 N Columbus St Ste a
Lancaster, OH 43130-8991

Mailing address

2656 N Columbus St Ste a
Lancaster, OH 43130-8991
Phone (740) 653-5064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000016 OH Practitioner - Plastic and Reconstructive Surgery 6204867989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Ohio State University College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2656 N Columbus St
Suite a
Lancaster, OH 43130-8991
Phone (740) 653-5064

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35084162OHMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Plastic Surgery Inc Plastic Surgery CurrentSince May 13, 2005 Accepting new patients
Ohio Ophthalmology, Inc. PastSince Apr 24, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

680 Buckles Ct N
Ste 2B
Gahanna, OH 43230
Phone (740) 653-5064

135 N Ewing St
Ste 202
Lancaster, OH 43130
Phone (740) 653-5064

2656 N Columbus St
Ste A
Lancaster, OH 43130
Phone (740) 653-5064

Interoperability endpoints

  • Direct secure messaging: jlichten@directaddress.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1871586180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 N COLUMBUS ST STE A",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308991",
            "telephone_number": "740-653-5064",
            "fax_number": "740-653-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 N COLUMBUS ST STE A",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431308991",
            "telephone_number": "740-653-5064",
            "fax_number": "740-653-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTEN",
        "first_name": "JASON",
        "middle_name": "BRETT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35084162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.