Vip Cosmetic Surgery, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

VIP COSMETIC SURGERY, PA

Practice address

10 William Pope Dr Ste 4
Bluffton, SC 29909-7550

Phone

(843) 705-1515

Fax

(843) 705-1512

NPI assigned

Mar 17, 2020

Organization subpart

No

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

Authorized official

Name

Melissa Nichols

Title

Chief Operating Officer

Phone

(843) 705-1515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1043846595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WILLIAM POPE DR STE 4",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097550",
            "telephone_number": "843-705-1515",
            "fax_number": "843-705-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WILLIAM POPE DR STE 4",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299097550",
            "telephone_number": "843-705-1515",
            "fax_number": "843-705-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP COSMETIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "843-705-1515"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann Michelle Ventriglia-Rogers, PT, DPT
• Lisa Marie Vespico-Mull, LPC, CAADC, SAP
• Allison Kathryn Vigil, N.P.
• Tracy Villalobos Campos, PT
• Vincent M Somaio, MD, LLC
• Virginia M. Boney, PH.D. LMFT, PA
• Vital Personalized Healthcare, LLC
• Daniel Jay Vogt, DMD
• Katharine Volz, MOT
• Madelyn Wagner

• Medical Specialty Clinic/Center in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.