Active NPI
Eastern Shore Care Services, P.C.
- Plastic and Reconstructive Surgery Physician
- Fairhope, AL
National Provider Identifier
1164614137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- EASTERN SHORE CARE SERVICES, P.C.
- Practice address
- 411 N Section St
Fairhope, AL 36532-2649 - Phone
- (251) 591-3978
- NPI assigned
- Aug 14, 2007
- 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
- Valerie Ann Larson-Lohr
- Title
- Business Manager
- Phone
- (210) 494-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
411 N Section St
Fairhope, AL 36532-2649
Mailing address
2935 Thousand Oaks Dr Ste 294
San Antonio, TX 78247-3563
Phone (210) 494-1100
Other names 1
- Eastern Shore Aesthetic Services PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
411 N Section St
Ste 101
Fairhope, AL 36532
Phone (251) 928-9090
188 Hospital Dr
Ste 203
Fairhope, AL 36532
Phone (251) 990-1990
5992 Berryhill Rd
Ste 200
Milton, FL 32570
Phone (850) 474-8000
13467 Wetmore Rd
Wetmore, TX 78247
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 Surgery Physician
- Fairhope, AL
- NPI 1952393951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758067200000",
"number": "1164614137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 THOUSAND OAKS DR STE 294",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782473563",
"telephone_number": "210-494-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N SECTION ST",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322649",
"telephone_number": "251-591-3978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN SHORE CARE SERVICES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A",
"authorized_official_last_name": "LARSON-LOHR",
"authorized_official_first_name": "VALERIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "210-494-1100"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eastern Shore Aesthetic Services PC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Eastern Shore Aesthetic Services PC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fairhope, AL
- Tyler Patrick Dunn, DO
- East Bay Counseling Center, Inc
- East Bay Medical PC
- Eastern Shore Anesthesia PC
- Eastern Shore Care Services
- Eastern Shore Children's Clinic
- Eastern Shore Chiropractic & Sports Clinic, Inc
- Eastern Shore Cosmetic Surgery PC
- Eastern Shore Ear, Nose & Throat Clinic, PC
- Eastern Shore Eye Care, PC (Eastern Shore Eye Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.