Eagle View Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

EAGLE VIEW PLASTIC SURGERY

Practice address

3288 Eagle View LN
Suite 300
Lexington, KY 40509-9020

Phone

(859) 254-5665

Fax

(859) 281-6825

NPI assigned

Jun 23, 2015

Last updated

Jun 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

S. Randolph Waldman, MD

Title

Owner

Phone

(859) 254-5665

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, and the practitioner matching its NPPES authorized official.

• Steven Randolph Waldman, M.D.

  • Specialist
  • Lexington, KY
  • NPI 1366608499
  NPD (past)

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1316329709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 EAGLE VIEW LN",
            "address_2": "SUITE 300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405099020",
            "telephone_number": "859-254-5665",
            "fax_number": "859-281-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 EAGLE VIEW LN",
            "address_2": "SUITE 300",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405099020",
            "telephone_number": "859-254-5665",
            "fax_number": "859-281-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE VIEW PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "S.",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-254-5665",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Eades
• Brady Eads
• Kristen Nicole Eads
• Matthew Earl Eads, MD
• Molly Ann Eads, PA-C
• Gary F. Earle, M.D.
• Rondasha Earle
• Early Foundations, LLC
• Anita Earlywine
• Earth Angels in Home Care LLC

• Plastic Surgery Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Plastic Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.