Plastic Surgical Center

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

24782 Issued in IA

Legal business name

PLASTIC SURGICAL CENTER

Practice address

3705 River Ridge Dr NE
Cedar Rapids, IA 52402-7596

Phone

(319) 393-1902

Fax

(319) 393-1867

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles E Grado, M.D.NPI 1710988217

Title

Owner/Physician

Phone

(319) 393-1902

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aesthetic Consultants of Iowa Other name

Locations

Practitioners 1

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

• Charles Everett Grado, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Cedar Rapids, IA
  • NPI 1710988217
  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1285722264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 RIVER RIDGE DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027596",
            "telephone_number": "319-393-1902",
            "fax_number": "319-393-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 RIVER RIDGE DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027596",
            "telephone_number": "319-393-1902",
            "fax_number": "319-393-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GRADO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "319-393-1902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IA",
            "license": "24782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0229138",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Consultants of Iowa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Piper Family Medicine PC
• Scott J Piper, MD
• Elizabeth Pithan
• Nichole S Plagge, PT
• Planned Parenthood of the Heartlan
• Haley Plath, DO
• Daniel Pledgejohnson
• Allison Leigh Pleggenkuhle
• Chelsea Plunkett, MA, TLMFT
• Pno, Inc.

• Plastic Surgery Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Plastic Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.