Active NPI
Ashland Plastic Surgery Inc PSC
- Plastic Surgery Physician
- Ashland, KY
National Provider Identifier
1194904490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- Legal business name
- ASHLAND PLASTIC SURGERY INC PSC
- Practice address
- 617 23Rd St
Ashland, KY 41101-2880 - Phone
- (606) 324-7146
- Fax
- (606) 324-5165
- NPI assigned
- Nov 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William B Rogers III, MD
- Title
- President
- Phone
- (606) 324-7146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | Primary |
Addresses
Primary practice location
617 23Rd St
Ashland, KY 41101-2880
Mailing address
PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-5044
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000050196 | Other | KY | BCBS |
| 64295611 | Medicaid | KY | |
| CM2911 | Other | KY | RR MEDICARE GROUP PIN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289260800000",
"number": "1194904490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1595",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411051595",
"telephone_number": "606-408-5044",
"fax_number": "606-408-5176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 23RD ST",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012880",
"telephone_number": "606-324-7146",
"fax_number": "606-324-5165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHLAND PLASTIC SURGERY INC PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-02",
"last_updated": "2010-11-09",
"status": "A",
"authorized_official_last_name": "ROGERS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-324-7146",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000050196",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64295611",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP PIN",
"identifier": "CM2911",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
- Ashland Mental Health Professional Limited Liability Company
- Ashland Nursing Home Corporation
- Ashland Optical Co Inc
- Ashland Orthopedic Associates, P.S.C.
- Ashland Physiatry & Pain Management
- Ashland Primary Care PSC
- Ashland Professional Counseling, LLC
- Ashland Prosthetic & Orthotic
- Ashland Psychiatry Associates, PSC
- Ashland Radiation Oncology, PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.