Gregory H Pastrick, M.D., P.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD31934 Issued in TN

Practice address

1 Sheridan SQ
Suite 200
Kingsport, TN 37660-7393

Phone

(423) 932-4884

Fax

(423) 392-4820

NPI assigned

Apr 13, 2006

Last updated

Dec 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gregory H Pastrick PC

  dba DBA The Plastic Surgery Center of East Tennessee

  • Plastic Surgery Physician
  • Kingsport, TN
  • NPI 1336165703
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1073577318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHERIDAN SQ",
            "address_2": "SUITE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607393",
            "telephone_number": "423-932-4884",
            "fax_number": "423-392-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHERIDAN SQ",
            "address_2": "SUITE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607393",
            "telephone_number": "423-932-4884",
            "fax_number": "423-392-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTRICK",
        "first_name": "GREGORY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D., P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "MD31934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4046491",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric D Parks, M.D.
• Myah Breanne Parlier, PA
• Wesley Buell Parris, M.D.
• Brooke Ashley Parton
• Tanor Lee Parton
• Brijesh Rajeshkumar Patel, M.D
• Rakeshkumar Patel, M.D., MBA
• Sudhirkumar Vinodchandra Patel, MD
• Sana Pathan
• Kiran Patibandla, MD

• Plastic Surgery Physician in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.