Southern Arizona Plastic Surgery, PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

SOUTHERN ARIZONA PLASTIC SURGERY, PLLC

Practice address

1104 N El Dorado PL
Tucson, AZ 85715-4606

Phone

(520) 762-9777

Fax

(520) 666-3211

NPI assigned

Mar 12, 2025

Organization subpart

No

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

Authorized official

Name

Wyatt Ho, MDNPI 1023245578

Title

Owner

Phone

(520) 762-9777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Wyatt Ho, MD

  • Plastic Surgery Physician
  • Tucson, AZ
  • NPI 1023245578
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1306645221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 N EL DORADO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154606",
            "telephone_number": "520-762-9777",
            "fax_number": "520-666-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N EL DORADO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154606",
            "telephone_number": "520-762-9777",
            "fax_number": "520-666-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ARIZONA PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "WYATT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-762-9777",
        "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": []
}

• Southern Arizona Ophthalmology PC
• Southern Arizona Oral & Maxillofacial Surgery, P.C.
• Southern Arizona Orthopedics, P.C.
• Southern Arizona Pathology Associates, LLC.
• Southern Arizona Periodontics PLC
• Southern Arizona Rheumatology
• Southern Arizona Rheumatology Associates LLC
• Southern Arizona Surgical Neurophysiology
• Southern Arizona Testing Service
• Southern Arizona Therapy Network Inc.

• Plastic Surgery Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.