Niagara Plastics PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

5628 Issued in AZ

Legal business name

NIAGARA PLASTICS PLLC

Practice address

5010 E Shea Blvd
Suite 175
Scottsdale, AZ 85254-4681

Phone

(480) 657-2000

Fax

(480) 657-2011

NPI assigned

May 12, 2016

Last updated

May 12, 2016By 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

Ms. Chele L Banasiak

Title

Manager

Phone

(480) 657-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

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.

• Molly F Walsh, DO

  • Plastic Surgery Physician
  • Scottsdale, AZ
  • NPI 1275504920
  Medicare reassignment NPD

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1215383880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10645 N TATUM BLVD",
            "address_2": "SUITE 200 611",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283068",
            "telephone_number": "480-657-2000",
            "fax_number": "480-657-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E SHEA BLVD",
            "address_2": "SUITE 175",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544681",
            "telephone_number": "480-657-2000",
            "fax_number": "480-657-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIAGARA PLASTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "BANASIAK",
        "authorized_official_first_name": "CHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-657-2000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "5628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Thao Linh Nguyen, LPC
• Stephanie F Nguyen, WHNP
• Steven Nguyen, DDS
• Thuy-Duyen Cao Nguyen, MD
• Thy Nguyen, RPH
• Seth Oliver Niblett, PA-C
• Megan Joy Nibley, PA
• Alexandru Stefan Nica, MD
• Candace Jo Nicholas, NP
• Keanu Nicholas, RBT

• Plastic Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, 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 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.