Center for Plastic Surgery PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25984 Issued in KY

Legal business name

CENTER FOR PLASTIC SURGERY PSC

Doing business as

Dr. Sandra Bouzaglou

Practice address

501 Darby Creek Rd
Suite 59
Lexington, KY 40509-1604

Phone

(859) 263-8083

Fax

(859) 263-9160

NPI assigned

Jul 18, 2007

Organization subpart

No

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

Authorized official

Name

Denise Sparks

Title

Office Manager

Phone

(859) 263-8083

Specialties & licenses 1

Addresses

Other names 1

• Dr. Sandra Bouzaglou Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Bouzaglou, M.D.

  • Specialist
  • Lexington, KY
  • NPI 1871676502
  NPD (past)
• Marvin Douglas Hall Jr., CFA CSA

  • Surgical Assistant
  • Lexington, KY
  • NPI 1679089460
  NPD (past)
• Paige Lynne Hoogerheide, PA-C, SA-C

  • Surgical Physician Assistant
  • Lexington, KY
  • NPI 1457421513
  NPD (past)
• Benjamin P Levitsky

  • Surgical Assistant
  • Lexington, KY
  • NPI 1346037207
  NPD (past)
• Laurel J Snelling, PA, CSA

  • Surgical Physician Assistant
  • Lexington, KY
  • NPI 1356414494
  NPD (past)
• Christopher Dean Prevel, MD

  • Plastic Surgery Physician
  • Orlando, FL
  • NPI 1023182839
  NPD (past)

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1073713160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DARBY CREEK RD",
            "address_2": "SUITE 59",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091604",
            "telephone_number": "859-263-8083",
            "fax_number": "859-263-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DARBY CREEK RD",
            "address_2": "SUITE 59",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091604",
            "telephone_number": "859-263-8083",
            "fax_number": "859-263-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PLASTIC SURGERY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "859-263-8083"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "25984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Sandra Bouzaglou",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Center for Counseling, Health, and Wellness, PLLC
• Center for Family and Community Services
• Center for Orthotic & Prosthetic Care of Ky, LLC
• Center for Orthotic and Prosthetic Care of Ky, LLC (Center for Orthotic and Prosthetic Care)
• Center for Pain Management, PLLC
• Allyson Centers, MSW, CSW
• Linda Kaye Centers, OTR/L
• Centerwell Certified Healthcare Corp. (Centerwell Home Health)
• Centerwell Senior Primary Care Ky PSC (CenterWell Senior Primary Care- Regency center)
• Centerwell Senior Primary Care Ky PSC (CenterWell Senior Primary Care-Richmond Road)

• Specialist in Lexington, KY
• Providers in Lexington, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.