Advanced Reconstruction and Aesthetics PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ADVANCED RECONSTRUCTION AND AESTHETICS PLLC

Practice address

6036 N 19TH Ave Ste 501
Phoenix, AZ 85015-2143

Phone

(602) 899-6444

Fax

(602) 899-4161

NPI assigned

Dec 12, 2019

Organization subpart

No

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

Authorized official

Name

Randall Oliver Craft, MD

Title

Owner

Phone

(602) 899-6444

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.

• Matthew H Andersen, MD

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1114169307
  NPD (past)

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1275171993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6036 N 19TH AVE STE 501",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152143",
            "telephone_number": "602-899-6444",
            "fax_number": "602-899-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 N 19TH AVE STE 501",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152143",
            "telephone_number": "602-899-6444",
            "fax_number": "602-899-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED RECONSTRUCTION AND AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-899-6444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Phoenix Imaging PA
• Advanced Physiotherapy & Wellness Center LLC
• Advanced Plastic Reconstruction PLLC
• Advanced Practice Assistance Inc
• Advanced Psychiatric Health PLLC
• Advanced Reconstructive Surgeons PLLC
• Advanced Reconstructive Surgical Associates
• Advanced Reconstructive Surgical Associates PLLC
• Advanced Retina and Eye Cancer Center, LLC
• Advanced Scottsdale Anesthesia LLC

• Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.