Active NPI
Dr. Kitto Plastic Surgery PC
- Plastic Surgery Physician
- North Chesterfield, VA
National Provider Identifier
1053809780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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 DirectoryLocations
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.