Lewisburg Plastic Surgery and Laser Center

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

LEWISBURG PLASTIC SURGERY AND LASER CENTER

Practice address

135 Walter Dr
Lewisburg, PA 17837-7482

Phone

(570) 524-7777

Fax

(570) 523-9165

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ernest Normington, M.D.NPI 1093708372

Title

President

Phone

(570) 524-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Lewisburg Plastic Surgery and Laser Center

  • Ambulatory Surgical Clinic/Center
  • Lewisburg, PA
  • NPI 1902899289

  3072507326

  Same PAC ID

Practitioners 4

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

• Ernest Y. Normington III, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Lewisburg, PA
  • NPI 1093708372
  Medicare reassignment Care Compare group NPD Authorized official
• Erin Danielle Abunassar, PA

  • Medical Physician Assistant
  • Lewisburg, PA
  • NPI 1578680823
  Medicare reassignment Care Compare group NPD
• Alexander P. Moya, M.D.

  • Plastic Surgery Physician
  • Lewisburg, PA
  • NPI 1770546988
  Medicare reassignment Care Compare group NPD
• Susan A. Laverty-Moya, PA-C

  • Physician Assistant
  • Danville, PA
  • NPI 1144280330
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1124043708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WALTER DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178377482",
            "telephone_number": "570-524-7777",
            "fax_number": "570-523-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WALTER DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178377482",
            "telephone_number": "570-524-7777",
            "fax_number": "570-523-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISBURG PLASTIC SURGERY AND LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "NORMINGTON",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-524-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "02816600",
            "identifier": "CAPITAL BLUE CROSS",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lewisburg Cancer Center LLC
• Lewisburg Family Chiropractic
• Lewisburg Pediatrics
• Lewisburg Pharmacy
• Lewisburg Pharmacy Homecare
• Lewisburg Plastic Surgery and Laser Center
• Lewisburg RX
• Lewisburg Sport & Spine Chiropractic Center LLC
• Paul Stephen Lin, M.D.
• Lipski Eye Center PC

• Plastic Surgery Physician in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.