Ford Plastic & Reconstructive Surgery PMC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

FORD PLASTIC & RECONSTRUCTIVE SURGERY PMC

Practice address

4864 Bluebonnet Blvd
Baton Rouge, LA 70809-9666

Phone

(225) 269-2610

Fax

(225) 269-2630

NPI assigned

May 15, 2020

Organization subpart

No

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

Authorized official

Name

Katherine Ford Chiasson, MDNPI 1770842486

Title

President

Phone

(225) 269-2610

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Ford Chiasson, M.D.

  • Plastic and Reconstructive Surgery Physician
  • New Orleans, LA
  • NPI 1770842486
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1265054969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395996",
            "telephone_number": "770-951-8427",
            "fax_number": "770-951-2157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 BLUEBONNET BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099666",
            "telephone_number": "225-269-2610",
            "fax_number": "225-269-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD PLASTIC & RECONSTRUCTIVE SURGERY PMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "CHIASSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "FORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-269-2610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD.206865",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Footsteps,LLC
• Footsteps,LLC
• Deven M Forbes-Richard, LMSW
• Erika Halphen Forbes, APRN-CNP
• Marion Hogan Forbes, RPH
• Alexis Brown Ford, DO
• Autumn Lashae Ford
• Brittney Ford
• Carey Lynn Ford Jr.
• Cassandra Ford, BCBA

• Plastic and Reconstructive Surgery Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Plastic and Reconstructive Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.