ADVANCED AESTHETICS AND REJUVINATION INC (NPI# 1114248044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114248044 |
| Entity Type | Organization |
| Organization Name | ADVANCED AESTHETICS AND REJUVINATION INC |
| Practice Address |
30701 Lorain Rd Ste A North Olmsted OH 44070-6325 |
| Mailing Address |
5661 Lake Shore Ave Westerville OH 43082-8174 |
| Practice Telephone | 4402745000 |
| Practice Fax Number | 4407168608 |
| Mailing Telephone | 4402745000 |
| Mailing Fax Number | 4407168608 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | DAVID A GARCIA (PRESIDENT) |
| Authorized Official Telephone | 4402745000 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
1402156 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
30701 LORAIN RD STE A |
| City | NORTH OLMSTED |
| State | OH |
| Zip Code | 44070-6325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801270517 | Residence Home Care LLC | Home Health | 30701 Lorain Rd, Suite B, North Olmsted, OH 44070 | 2015-07-13 |
| 1205265188 | Audra Maria Popik | Counselor | 6758 Warrington Dr, North Olmsted, OH 44070 | 2013-11-01 |
| 1891092128 | Michael J Skoda | Counselor | 26777 Lorain Rd Ste 403, North Olmsted, OH 44070 | 2011-02-23 |
| 1679875058 | Nathan T Stuckey | Pharmacist | 5737 Decker Rd, North Olmsted, OH 44070 | 2010-11-17 |
| 1710216874 | Tracey Powell Blake | Respiratory Therapist, Registered | 23916 Elm Road, North Olmsted, OH 44070 | 2009-12-18 |
| 1598911356 | St. Clarence Geac | Assisted Living Facility | 30344 Lorain Rd., North Olmsted, OH 44070 | 2008-08-13 |
| 1568597870 | Shannon Marie Gorman | Home Health Aide | 3801 Brendan Lane, C4, North Olmsted, OH 44070 | 2007-02-23 |
| 1902980097 | Arthur Jeffrey Schechtman | Dentist | 920 Great Northern Mall, North Olmstead, OH 44070 | 2006-10-25 |
| 1417054305 | Marta Takacs | Psychologist | 4859 Dover Center Rd #9, N Olmsted, OH 44070 | 2006-09-20 |
| 1245336643 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 832 Great Northern Mall, North Olmsted, OH 44070 | 2006-09-15 |
| Find all providers in zip 44070 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192304 | Roberta S Mckinley | Surgery | 5955 Carrbridge Ct, Galloway, OH 43119-1105 | 2020-07-29 |
| 1841707346 | Ptek Solutions | Surgery | 355 E Campus View Blvd Ste 290, Columbus, OH 43235-5680 | 2018-01-05 |
| 1336660034 | Andrew O'brien | Surgery | 915 Olentangy River Rd Fl 2, Columbus, OH 43212-3153 | 2017-07-03 |
| 1700118114 | Vidas Dumasius | Surgery | 400 Matthew St Ste B-1, Marietta, OH 45750-1644 | 2010-02-10 |
| 1033382411 | Derek Cody | Surgery | 3925 Embassy Parkway, Suite 300, Akron, OH 44333 | 2008-04-08 |
| 1043381189 | Steven A Goldman Md Inc | Surgery | 3609 Park East Dr Ste 206, Beachwood, OH 44122-4309 | 2006-11-12 |
| 1922198357 | Michael P Binder | Surgery | 8587 East Ave, Mentor, OH 44060-4301 | 2006-10-14 |
| 1154416857 | Jason E Leedy | Surgery | 2060 Lander Rd, Mayfield Heights, OH 44124-4100 | 2006-10-04 |
| 1841225356 | Steven Scott Carp | Surgery | 4031 Massillon Road, Ste A, Uniontown, OH 44685 | 2006-07-12 |
| 1588628820 | Christopher Andrew Reeder | Surgery | 6728 Loop Rd, Bldg 5, Suite 301, Dayton, OH 45459-2196 | 2006-04-13 |
| Find all providers with the same taxonomy | ||||
| City | NORTH OLMSTED |
| Zip Code | 44070 |
Please comment or provide details below to improve the information on ADVANCED AESTHETICS AND REJUVINATION INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.