Individual provider Active NPI

John Philip Neary, M.D.

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Hudson, OH
National Provider Identifier
1912090291
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
35065469 Issued in OH
Practice address
571 Boston Mills Rd
Suite 100
Hudson, OH 44236-1112
Phone
(330) 655-9700
Fax
(330) 342-9847
NPI assigned
Oct 1, 2006
Last updated
Oct 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 35.065469 OH
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X 35065469 OH Primary

Addresses

Primary practice location

571 Boston Mills Rd
Suite 100
Hudson, OH 44236-1112

Mailing address

571 Boston Mills Rd
Suite 100
Hudson, OH 44236-1112
Phone (330) 655-9700

Other identifiers 1

IdentifierTypeStateIssuer
0743902OtherOHPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20140225000779 LA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 3072405521 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.065469OHMDOral & Maxillofacial Surgery (D.M.D.)
35065469OHMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Nov 19, 2013 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Nov 19, 2013 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1542 Tulane Ave
Ste 659
New Orleans, LA 70112
Phone (504) 568-2314

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1912090291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 BOSTON MILLS RD",
            "address_2": "SUITE 100",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361112",
            "telephone_number": "330-655-9700",
            "fax_number": "330-342-9847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 BOSTON MILLS RD",
            "address_2": "SUITE 100",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442361112",
            "telephone_number": "330-655-9700",
            "fax_number": "330-342-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEARY",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "35.065469",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "OH",
            "license": "35065469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0743902",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.