Aesthetic Center of Plastic Surgery

Primary specialty

SpecialistTaxonomy code 174400000X

License

BP4905482 Issued in ND

Legal business name

AESTHETIC CENTER OF PLASTIC SURGERY

Practice address

115 W Century Ave
Suite B
Bismarck, ND 58503-1403

Phone

(701) 255-3311

Fax

(701) 255-2255

NPI assigned

Sep 25, 2007

Last updated

Oct 4, 2007By 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

Mr. Rick L Paulson, M.D.

Title

Physician

Phone

(701) 255-3311

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Sara Fiene, MD

  • Specialist
  • Bismarck, ND
  • NPI 1184282469
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1033306998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W CENTURY AVE",
            "address_2": "SUITE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031403",
            "telephone_number": "701-255-3311",
            "fax_number": "701-255-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W CENTURY AVE",
            "address_2": "SUITE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031403",
            "telephone_number": "701-255-3311",
            "fax_number": "701-255-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC CENTER OF PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "PAULSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "701-255-3311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ND",
            "license": "BP4905482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18831",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Indoor Solutions Inc.
• Advanced Physical Therapy and Fitness, LLC (Fyzical Therapy and Balance Centers-Bismarck)
• Advanced Physical Therapy and Fitness, LLC (Advanced Physical Therapy)
• Advanced Surgical Arts Center, PC
• Melanie Aeschliman
• David Gordon Affleck, MD
• Isaac Afoakwa
• Udit Agarwal
• Agents of Transitional Living LLC
• Samuel Aguhob, MD

• Specialist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Specialist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.