Organization Active NPI

Hill, Harper and Paredes, PA

Doing business as Tallahassee Plastic Surgery Clinic

  • Plastic Surgery Physician
  • Tallahassee, FL
National Provider Identifier
1043284474
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
HILL, HARPER AND PAREDES, PA
Doing business as
Tallahassee Plastic Surgery Clinic
Practice address
2452 Mahan Dr
Suite 101
Tallahassee, FL 32308-5377
Phone
(850) 877-2126
Fax
(850) 878-5190
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Alfredo Paredes Jr., M.D.NPI 1982678132
Title
President
Phone
(850) 877-2126

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

2452 Mahan Dr
Suite 101
Tallahassee, FL 32308-5377

Mailing address

2452 Mahan Dr
Suite 101
Tallahassee, FL 32308-5377
Phone (850) 877-2126

Other identifiers 2

IdentifierTypeStateIssuer
261120100MedicaidFL
99248OtherFLBC/BS FLORIDA

Other names 1

  • Tallahassee Plastic Surgery Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070330000382 FL Part B Supplier - Clinic/Group Practice 6608773627 Receives reassigned benefits from 5 practitioners
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

2626 Care Dr
Ste 200
Tallahassee, FL 32308
Phone (850) 219-5830

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1043284474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 MAHAN DR",
            "address_2": "SUITE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085377",
            "telephone_number": "850-877-2126",
            "fax_number": "850-878-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 MAHAN DR",
            "address_2": "SUITE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085377",
            "telephone_number": "850-877-2126",
            "fax_number": "850-878-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL, HARPER AND PAREDES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-877-2126",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261120100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FLORIDA",
            "identifier": "99248",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallahassee Plastic Surgery Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.