Aesthetic Center for Breast and Cosmetic Surgery, PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

11893 Issued in SC

Legal business name

AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA

Practice address

615 Halton Rd
Greenville, SC 29607-3403

Phone

(864) 676-1707

Fax

(864) 676-9256

NPI assigned

Jul 2, 2015

Last updated

Jul 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sutton Lewis Graham II, MDNPI 1972601888

Title

Owner

Phone

(864) 676-1707

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sutton L Graham II, MD

  • Plastic Surgery Physician
  • Greenville, SC
  • NPI 1972601888
  Authorized official Same address or phone
• Allison J Bishop, MSN, FNP-BC, APRN

  • Plastic Surgery Physician
  • Greenville, SC
  • NPI 1396582334
  NPD (past)
• Stephanie Smith

  • Registered Nurse
  • Greenville, SC
  • NPI 1689228827
  NPD (past)

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1174906648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073403",
            "telephone_number": "864-676-1707",
            "fax_number": "864-676-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073403",
            "telephone_number": "864-676-1707",
            "fax_number": "864-676-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "SUTTON",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-676-1707",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "11893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Home Medical Company
• Aeb Expess LLC
• Aegis Family Services, LLC
• Aegis Group Practice LLC
• Aegis Group Practice, LLC
• Affinity Care of South Carolina LLC
• Affinity Palliative South Carolina LLC (Affinity Palliative Care)
• Affordable Dentures - Greenville, P. C.
• Affordable Medical Supplies LLC
• Affordable Medicals Home Supplies

• Plastic Surgery Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Plastic Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.