Genesis Plastic Surgery and Medical Spa Inc.,P.C.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

20347 Issued in OK

Legal business name

GENESIS PLASTIC SURGERY AND MEDICAL SPA INC.,P.C.

Practice address

2505 S Kelly Ave
Edmond, OK 73013

Phone

(405) 340-9949

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jayesh Panchal, MD

Title

Physician

Phone

(405) 340-9949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1174793277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 S KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135796",
            "telephone_number": "405-340-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 S KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73013",
            "telephone_number": "405-340-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PLASTIC SURGERY AND MEDICAL SPA INC.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "PANCHAL",
        "authorized_official_first_name": "JAYESH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-340-9949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OK",
            "license": "20347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles M Gelnar, MD
• General Surgery Associates, P.C.
• General Surgery Group, PLLC
• Generations
• Genesis Medical Services, LLC
• Bivian O Geno, M.ED.
• Diane Yvonne Genther, PH.D.
• April D Gentry, FNP-C
• Margaret Campbell Gentry, PA
• Geoffrey W Hoover MD PLLC

• Plastic Surgery Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Plastic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.