Organization Active NPI

Synergy Plastic Surgery, PLLC

  • Plastic Surgery Physician
  • Round Rock, TX
National Provider Identifier
1306157391
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
N5152 Issued in TX
Legal business name
SYNERGY PLASTIC SURGERY, PLLC
Practice address
7700 Cat Hollow Dr
Suite 103
Round Rock, TX 78681-5796
Phone
(512) 244-1444
Fax
(512) 244-1445
NPI assigned
Jun 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Dr. Mahlon Kerr, M.D.
Title
Owner
Phone
(512) 244-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X N5152 TX Primary

Addresses

Primary practice location

7700 Cat Hollow Dr
Suite 103
Round Rock, TX 78681-5796

Mailing address

7700 Cat Hollow Dr
Suite 103
Round Rock, TX 78681-5796
Phone (512) 244-1444

National Provider Directory

National Provider Directory

Locations

7700 Cat Hollow Dr
Ste 103
Round Rock, TX 78681
Phone (512) 244-1444

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1306157391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR",
            "address_2": "SUITE 103",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815796",
            "telephone_number": "512-244-1444",
            "fax_number": "512-244-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 CAT HOLLOW DR",
            "address_2": "SUITE 103",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815796",
            "telephone_number": "512-244-1444",
            "fax_number": "512-244-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "MAHLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-244-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "N5152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.