Traikovich Cosmetic Surgery, P.C.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

TRAIKOVICH COSMETIC SURGERY, P.C.

Practice address

19636 N 27TH Ave
Ste 206
Phoenix, AZ 85027-4015

Phone

(623) 516-0930

Fax

(623) 580-9084

NPI assigned

Mar 29, 2008

Last updated

Sep 27, 2019By 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

Mrs. Susan Lorraine Traikovich

Title

Administrator

Phone

(602) 317-9347

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1206748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1194997262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9967 E DESERT BEAUTY DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552579",
            "telephone_number": "602-317-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE",
            "address_2": "STE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274015",
            "telephone_number": "623-516-0930",
            "fax_number": "623-580-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAIKOVICH COSMETIC SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-29",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "TRAIKOVICH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-317-9347",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cheryl Trainer

• Facial Plastic Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Facial Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.