Plastic Surgery Associates of Southern Indiana PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

50003776A Issued in IN

Legal business name

PLASTIC SURGERY ASSOCIATES OF SOUTHERN INDIANA PC

Practice address

1455 W 2ND Street
Bloomington, IN 47403

Phone

(812) 336-6060

Fax

(812) 333-7760

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

William Edward Weber Jr., MD

Title

President & Chair of Governing Body

Phone

(812) 336-6060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225129570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1148",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474021148",
            "telephone_number": "812-336-6060",
            "fax_number": "812-333-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W 2ND STREET",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47403",
            "telephone_number": "812-336-6060",
            "fax_number": "812-333-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY ASSOCIATES OF SOUTHERN INDIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT & CHAIR OF GOVERNING BODY",
        "authorized_official_telephone_number": "812-336-6060",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IN",
            "license": "50003776A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pixler Integrative Health Care, LLC
• John Alexander Pixler, D.C.
• Fiora Pizzo, LCSW
• Planned Parenthood of Indiana Bloomington
• Deborah Plass, O.D.
• Tess Plazek, RBT
• Timothy A Pliske, D.D.S.
• Ean Drew Plude
• Roberta Marlene Plummer, M.S. CCC-SLP
• Grace Elizabeth Poduch, PA-C

• Plastic Surgery Physician in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Plastic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.