Organization Active NPI

Salameh Plastic Surgery, LLC

  • Plastic and Reconstructive Surgery Physician
  • Bowling Green, KY
National Provider Identifier
1144671587
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
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

Updated by the provider on Jul 7, 2016

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)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000001014393OtherKYANTHEM BLUE CROSS AND BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.