East Valley Plastic Surgery, PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

31020 Issued in AZ

Legal business name

EAST VALLEY PLASTIC SURGERY, PC

Practice address

600 S. Dobson Rd
E-36
Chandler, AZ 85224

Phone

(480) 894-8873

Fax

(480) 894-8874

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Khang Ngoc Thai, MD

Title

Plastic Surgeon

Phone

(480) 894-8873

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1184767014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S. DOBSON RD SUITE E-36",
            "address_2": "EAST VALLEY PLASTIC SURGERY PC",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-894-8873",
            "fax_number": "480-894-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S. DOBSON RD",
            "address_2": "E-36",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-894-8873",
            "fax_number": "480-894-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY PLASTIC SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "KHANG",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "480-894-8873",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "31020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758948",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Valley Medical Associates, PLC
• East Valley Medical Associates, PLC
• East Valley Medicine PLC
• East Valley Oral Surgery,PC
• East Valley Pcit, PLLC
• East Valley Radiology Associates PLLC
• East Valley Specialty Care, LLC
• East Valley Treatment Center LLC
• East Valley Urgent Care, LLC
• East Valley Urgent Care,LLC

• Plastic Surgery Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.