Organization Active NPI

Bose Plastic Surgery LLC

  • Plastic Surgery Physician
  • Valparaiso, IN
National Provider Identifier
1154780831
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
BOSE PLASTIC SURGERY LLC
Practice address
85 E US Highway 6
Suite 210
Valparaiso, IN 46383-8947
Phone
(562) 317-2872
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Lohith Bose, MD
Title
Owner
Phone
(561) 317-2872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X Primary

Addresses

Primary practice location

85 E US Highway 6
Suite 210
Valparaiso, IN 46383-8947

Mailing address

85 E US Highway 6
Suite 210
Valparaiso, IN 46383-8947

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1154780831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 E US HIGHWAY 6",
            "address_2": "SUITE 210",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 E US HIGHWAY 6",
            "address_2": "SUITE 210",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463838947",
            "telephone_number": "562-317-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSE PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "BOSE",
        "authorized_official_first_name": "LOHITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-317-2872",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.