Jonesboro Plastic Surgery Associates Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

JONESBORO PLASTIC SURGERY ASSOCIATES INC

Practice address

1150 E Matthews Ave
Ste 201
Jonesboro, AR 72401-4346

Phone

(870) 336-3190

Fax

(870) 930-9377

NPI assigned

Jan 5, 2010

Organization subpart

No

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

Authorized official

Name

Mr. John Matt Parker

Title

President

Phone

(870) 932-7024

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1295065852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E MATTHEWS AVE",
            "address_2": "STE 201",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014346",
            "telephone_number": "870-336-3190",
            "fax_number": "870-930-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E MATTHEWS AVE",
            "address_2": "STE 201",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014346",
            "telephone_number": "870-336-3190",
            "fax_number": "870-930-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONESBORO PLASTIC SURGERY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MATT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-932-7024",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jonesboro Neurosurgery Clinic, Inc
• Jonesboro Phamacy Solutions
• Jonesboro Public Schools
• Jonesboro Public Schools
• Jonesboro Public Schools #1
• Jonesboro Surgery Center Anesthesia
• Jonesboro Surgery Center, LLC

• Plastic Surgery Physician in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Plastic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.