The Plastic Surgery Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

THE PLASTIC SURGERY GROUP

Practice address

3723 Hauck Rd
Cincinnati, OH 45241-1607

Phone

(513) 791-4440

Fax

(513) 985-6615

NPI assigned

Apr 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Julie Gander

Title

Office Manager

Phone

(513) 791-4440

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Plastic Surgery Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Plastic Surgery Group Inc

  • Specialist
  • Cincinnati, OH
  • NPI 1083737027
  NPD tax ID
• The Plastic Surgery Group

  • Specialist
  • Crestview Hills, KY
  • NPI 1346468030
  NPD tax ID

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124246822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 HAUCK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411607",
            "telephone_number": "513-769-3223",
            "fax_number": "513-985-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 HAUCK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452411607",
            "telephone_number": "513-791-4440",
            "fax_number": "513-985-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLASTIC SURGERY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-791-4440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167877",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Cincinnati, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.