Medical Cosmetic Center, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

01062143A Issued in IN

Legal business name

MEDICAL COSMETIC CENTER, LLC

Practice address

7145 E Virginia St
Suite 2000
Evansville, IN 47715-9124

Phone

(812) 476-6161

Fax

(812) 476-6162

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Lisa Hastetter

Title

Practice Manager

Phone

(812) 476-6161

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Stephan Hastetter, M.D.

  • Obstetrics & Gynecology Physician
  • Evansville, IN
  • NPI 1992770127
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1174655880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 E VIRGINIA ST",
            "address_2": "SUITE 2000",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159124",
            "telephone_number": "812-476-6161",
            "fax_number": "812-476-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 E VIRGINIA ST",
            "address_2": "SUITE 2000",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477159124",
            "telephone_number": "812-476-6161",
            "fax_number": "812-476-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL COSMETIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "HASTETTER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "812-476-6161"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": "01062143A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER CAQH NUMBER",
            "identifier": "11564440",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marina Lee Melton McWilliams, FNP-BC
• Tia Meadows
• Jason Michael Meckler, MD
• Med 1St of Evansville, PC
• Medic on-Site Services, LLC
• Medical Service Company
• Medical Services of America, Inc.
• Gerard W Medicis, MSW, LCSW
• Medihealth Primary Care LLC
• Krisie L Medler, AGACNP

• Plastic Surgery Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Plastic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.