Active NPI
Plastic Surgery Associates PA
- Plastic and Reconstructive Surgery Physician
- Bozeman, MT
National Provider Identifier
1134965262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- PLASTIC SURGERY ASSOCIATES PA
- Practice address
- 915 Highland Blvd Ste 4500
Bozeman, MT 59715-6902 - Phone
- (682) 200-8580
- Fax
- (682) 200-8581
- NPI assigned
- Jul 8, 2024
- Organization subpart
- Yes
- Parent organization
- PLASTIC SURGERY ASSOCIATES PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sylviana Crawford
- Title
- Office Administrator
- Phone
- (682) 200-8580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
915 Highland Blvd Ste 4500
Bozeman, MT 59715-6902
Mailing address
1250 8TH Ave Ste 265
Fort Worth, TX 76104-4125
Phone (682) 200-8580
National Provider Directory
National Provider Directory- Part of
- Plastic Surgery Associates
Locations
1250 8th Ave
Ste 265
Fort Worth, TX 76104
Phone (682) 200-8580
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Fort Worth, TX
- NPI 1720020878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1134965262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 8TH AVE STE 265",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044125",
"telephone_number": "682-200-8580",
"fax_number": "682-200-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 HIGHLAND BLVD STE 4500",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156902",
"telephone_number": "682-200-8580",
"fax_number": "682-200-8581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGERY ASSOCIATES PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PLASTIC SURGERY ASSOCIATES PA",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "SYLVIANA",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "682-200-8580"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.