Active NPI
Salameh Plastic Surgery, LLC
- Plastic and Reconstructive Surgery Physician
- Bowling Green, KY
National Provider Identifier
1144671587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- SALAMEH PLASTIC SURGERY, LLC
- Practice address
- 996 Wilkinson Trce Ste C1
Bowling Green, KY 42103-3410 - Phone
- (270) 904-7791
- Fax
- (270) 904-7230
- NPI assigned
- Jun 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernard Salameh, M.D.
- Title
- Medical Doctor
- Phone
- (402) 547-7655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
996 Wilkinson Trce Ste C1
Bowling Green, KY 42103-3410
Mailing address
PO Box 1220
Bowling Green, KY 42102-1220
Phone (270) 745-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001014393 | Other | KY | ANTHEM BLUE CROSS AND BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
996 Wilkinson Trce
Ste C1
Bowling Green, KY 42103
Phone (270) 904-7791
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bowling Green, KY
- NPI 1578208559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467849600000",
"number": "1144671587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1220",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421021220",
"telephone_number": "270-745-1100",
"fax_number": "270-745-1156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "996 WILKINSON TRCE STE C1",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421033410",
"telephone_number": "270-904-7791",
"fax_number": "270-904-7230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALAMEH PLASTIC SURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-27",
"last_updated": "2016-07-07",
"status": "A",
"authorized_official_last_name": "SALAMEH",
"authorized_official_first_name": "BERNARD",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "402-547-7655",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD",
"identifier": "000001014393",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.