Yuma Plastic Surgery Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

23201 Issued in AZ

Legal business name

YUMA PLASTIC SURGERY INC

Practice address

2435 S Avenue a Ste C
Yuma, AZ 85364-7176

Phone

(928) 344-1111

Fax

(928) 344-1133

NPI assigned

Dec 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Louis Mark Miller, M.D.

Title

President

Phone

(928) 344-1111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355097600000",
    "number": "1184969610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 S AVENUE A STE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647176",
            "telephone_number": "928-344-1111",
            "fax_number": "928-344-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 S AVENUE A STE C",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647176",
            "telephone_number": "928-344-1111",
            "fax_number": "928-344-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-10",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-344-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "23201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuma Outpatient Surgery Center Limited Partnership
• Yuma Pediatrics
• Yuma Physical Therapy LTD
• Yuma Physicians Hospital Group
• Yuma Physicians Medical Clinic, P.C.
• Yuma Primary Care P L L C
• Yuma Psychological Services, LLC
• Yuma Psychological Services, LLC
• Yuma Psychological Services, LLC (Carolina Prieto, Psy.D.)
• Yuma Pulmonary Associates, LLC

• Specialist in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Specialist in Arizona

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