Memphis Plastic Surgery Group

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD0000008349 Issued in TN

Legal business name

MEMPHIS PLASTIC SURGERY GROUP

Practice address

6005 Park Ave
Suite 1007B
Memphis, TN 38119-5202

Phone

(901) 761-2400

Fax

(901) 761-9892

NPI assigned

Jul 30, 2007

Last updated

Jul 30, 2007By 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

Dr. Asghar Koleyni, MDNPI 1184718017

Title

Medical Director

Phone

(901) 761-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Asghar Koleyni, MD

  • Plastic Surgery Physician
  • Memphis, TN
  • NPI 1184718017
  Authorized official Same address or phone

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185753600000",
    "number": "1225228950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 1007B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195225",
            "telephone_number": "901-761-2400",
            "fax_number": "901-761-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 1007B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195202",
            "telephone_number": "901-761-2400",
            "fax_number": "901-761-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS PLASTIC SURGERY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A",
        "authorized_official_last_name": "KOLEYNI",
        "authorized_official_first_name": "ASGHAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "901-761-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "MD0000008349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3371390",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Memphis Pathology Laboratory (American Esoteric Laboratories)
• Memphis Pediatric Gastroenterology & Hepatology PC
• Memphis Pediatric Heart
• Memphis Physician Partners, PLLC (Adams Patterson)
• Memphis Physicians Radiological Group PC
• Memphis Primary Care Associates, PLLC
• Memphis Primary Care Specialists
• Memphis Primary Care Specialists
• Memphis Professional Physician Staffing LLC
• Memphis Psychiatric and Addiction Clinic, PC

• Plastic Surgery Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Plastic Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.