Organization Active NPI

Sawan Surgical Aesthetics PLLC

  • Plastic Surgery Physician
  • Edmond, OK
National Provider Identifier
1073984621
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
23616 Issued in OK
Legal business name
SAWAN SURGICAL AESTHETICS PLLC
Practice address
209 Lilac Drive
# 200
Edmond, OK 73034
Phone
(405) 788-0785
NPI assigned
Oct 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Dr. Kamal T Sawan, MD
Title
Plastic Surgeon / Owner
Phone
(405) 788-0785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 23616 OK Primary

Addresses

Primary practice location

209 Lilac Drive
# 200
Edmond, OK 73034

Mailing address

PO Box 29
Norman, OK 73070-0029
Phone (405) 788-0785

Other names 1

  • Sawan Institute for Aesthetic Plastic Surgery PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

209 Lilac Dr
Ste 200
Edmond, OK 73034
Phone (405) 788-0785

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1073984621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730700029",
            "telephone_number": "405-788-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LILAC DRIVE",
            "address_2": "# 200",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-788-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWAN SURGICAL AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "SAWAN",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PLASTIC SURGEON / OWNER",
        "authorized_official_telephone_number": "405-788-0785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OK",
            "license": "23616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sawan Institute for Aesthetic Plastic Surgery PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.