Organization Active NPI

Dr. Kitto Plastic Surgery PC

  • Plastic Surgery Physician
  • North Chesterfield, VA
National Provider Identifier
1053809780
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
DR. KITTO PLASTIC SURGERY PC
Practice address
1011 Johnston Willis Dr Ste 110
North Chesterfield, VA 23235
Phone
(804) 787-4927
NPI assigned
Apr 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Inzhili K Ismail, MD
Title
Owner
Phone
(804) 787-4927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

1011 Johnston Willis Dr Ste 110
North Chesterfield, VA 23235

Mailing address

1011 Johnston Willis Dr Ste 110
North Chesterfield, VA 23235-4872

National Provider Directory

National Provider Directory

Locations

11800 W Broad St
Henrico, VA 23233

1011 Johnston Willis Dr
Ste 110
North Chesterfield, VA 23235
Phone (804) 787-4927

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1053809780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 JOHNSTON WILLIS DR STE 110",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 JOHNSTON WILLIS DR STE 110",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-787-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KITTO PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "INZHILI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-787-4927",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

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