Plastic Surgery of North Ms., PA

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

12950 Issued in MS

Legal business name

PLASTIC SURGERY OF NORTH MS., PA

Practice address

4248 S Eason Blvd Ste B
Tupelo, MS 38801-6549

Phone

(662) 842-8949

Fax

(662) 842-8995

NPI assigned

Feb 22, 2016

Last updated

Feb 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Alan Pritchard, M.D.NPI 1467626390

Title

Owner

Phone

(662) 842-8949

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Douglas Alan Pritchard, MD

  • Plastic Surgery Physician
  • Tupelo, MS
  • NPI 1467626390
  NPD (past) Authorized official

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1023477841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 S EASON BLVD STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016549",
            "telephone_number": "662-842-8949",
            "fax_number": "662-842-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 S EASON BLVD STE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016549",
            "telephone_number": "662-842-8949",
            "fax_number": "662-842-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY OF NORTH MS., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-842-8949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MS",
            "license": "12950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018072",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diamond Pittman, NP
• Michael D Pittman, OT
• Abby Kensington Pitts, PHARMD
• Carla Patrice Pitts, OT
• Plastic Surgery of North Ms PA
• Kelli McGee Plunk, MSN, FNP-C
• Alec Hayden Plunkett, PA
• Holly Corbin Poland
• Ginger L Pole, D.O.
• Pontotoc Health Providers

• Plastic and Reconstructive Surgery Physician in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Plastic and Reconstructive Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.