Organization Active NPI

Opoku Plastic Surgery

  • Plastic Surgery Physician
  • Feasterville Trevose, PA
National Provider Identifier
1013681626
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
OPOKU PLASTIC SURGERY
Doing business as
Opoku Plastic Surgery
Practice address
1033 Millcreek Dr Ste B
Feasterville Trevose, PA 19053-7365
Phone
(267) 684-6432
NPI assigned
Aug 6, 2021
Last updated
Aug 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Amber Allen, DPMNPI 1871914259
Title
Medical Director
Phone
(267) 565-7485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WS0121X
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0099X
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X

Addresses

Primary practice location

1033 Millcreek Dr Ste B
Feasterville Trevose, PA 19053-7365

Mailing address

1033 Millcreek Dr Ste B
Feasterville Trevose, PA 19053-7365
Phone (267) 684-6432

Other names 1

  • Opoku Plastic Surgery Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address director@phillycenterforplasticsurgery.com Direct

National Provider Directory

National Provider Directory

Locations

1033 Millcreek Dr
Ste B
Feasterville Trevose, PA 19053
Phone (267) 684-6432

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1013681626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 MILLCREEK DR STE B",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190537365",
            "telephone_number": "267-684-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 MILLCREEK DR STE B",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190537365",
            "telephone_number": "267-684-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPOKU PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-06",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "267-565-7485",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "163WS0121X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "director@phillycenterforplasticsurgery.com",
            "affiliation": "N",
            "endpointDescription": "secure mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "director@phillycenterforplasticsurgery.com",
            "address_1": "1033 Millcreek Dr Ste B",
            "city": "Feasterville Trevose",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190537365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Opoku Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Feasterville Trevose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.