Amelia Island Plastic Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

AMELIA ISLAND PLASTIC SURGERY LLC

Practice address

5472 First Coast Hwy
Suite 3
Amelia Island, FL 32034-5488

Phone

(904) 430-0271

Fax

(904) 430-0290

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Stewart Humphrey, MDNPI 1467496646

Title

President

Phone

(904) 430-0271

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Stewart Humphrey, MD

  • Plastic Surgery Physician
  • Cape Girardeau, MO
  • NPI 1467496646
  NPD (past) Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265473698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5472 FIRST COAST HWY",
            "address_2": "SUITE 3",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "320345488",
            "telephone_number": "904-430-0271",
            "fax_number": "904-430-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5472 FIRST COAST HWY",
            "address_2": "SUITE 3",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "320345488",
            "telephone_number": "904-430-0271",
            "fax_number": "904-430-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA ISLAND PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-430-0271",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 8 Flags Chiropractic
• James Antun, DC
• Amaris Avellan, PH.D.
• Shelley Hicks Botts, CCC/SLP
• Jennifer Renee Carlisle, PTA
• CMZ Chiropractic LLC

• Plastic Surgery Physician in Amelia Island, FL
• Providers in Amelia Island, FL by specialty
• Plastic Surgery Physician in Florida

• 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.