Lake Mary Plastic and Cosmetic Surgery PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

LAKE MARY PLASTIC AND COSMETIC SURGERY PA

Practice address

934 Williston Park PT Ste 1028
Lake Mary, FL 32746-2165

Phone

(407) 333-2518

Fax

(407) 333-2521

NPI assigned

Sep 24, 2018

Last updated

Sep 24, 2018By 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. James Thomas Shoukas, MD

Title

President

Phone

(904) 553-0737

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1023592177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 WILLISTON PARK PT STE 1028",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462165",
            "telephone_number": "407-333-2518",
            "fax_number": "407-333-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 WILLISTON PARK PT STE 1028",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462165",
            "telephone_number": "407-333-2518",
            "fax_number": "407-333-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MARY PLASTIC AND COSMETIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "SHOUKAS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-553-0737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Mary Infusion Center
• Lake Mary Medical Center
• Lake Mary Medical Services, LLC
• Lake Mary Modern Dentistry, PA (Lake Mary Modern Dentistry)
• Lake Mary OB/GYN
• Lake Mary Psychiatric Services LLC
• Lake Mary Psychiatry and Counseling LLC
• Lake Mary Radiology, PLLC
• Lake Mary Smiles, PLLC (Lake Mary Smiles)
• Lake Mary Surgery Center LLC

• Plastic Surgery Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.