Plastic Surgery Center, P.a.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

08261 Issued in MS

Legal business name

PLASTIC SURGERY CENTER, P.A.

Practice address

1920 Chadwick Dr
Suite 108
Jackson, MS 39204-3471

Phone

(601) 373-3730

NPI assigned

Feb 27, 2007

Last updated

Apr 20, 2008By 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

Mrs. Diana Gorman

Title

Vice Pres- Office Manager

Phone

(601) 373-3730

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1063549178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 CHADWICK DR",
            "address_2": "SUITE 108",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043471",
            "telephone_number": "601-373-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 CHADWICK DR",
            "address_2": "SUITE 108",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043471",
            "telephone_number": "601-373-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "VICE PRES- OFFICE MANAGER",
        "authorized_official_telephone_number": "601-373-3730",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MS",
            "license": "08261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05959573",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison McKee Pitts, PA-C
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• Rebekah Lynn Plowden
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• Aaron William Plunkett
• Podiatry Associates of Central Mississippi

• Plastic and Reconstructive Surgery Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Plastic and Reconstructive Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.