Visage Facial Plastic Surgery SC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

Legal business name

VISAGE FACIAL PLASTIC SURGERY SC

Practice address

19275 W Capitol Dr
Suite 205
Brookfield, WI 53045-2742

Phone

(262) 701-7040

NPI assigned

Feb 7, 2014

Last updated

Nov 9, 2016By 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

Dr. Anand D Patel, M.D.NPI 1518159599

Title

Owner

Phone

(323) 839-8022

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.

• Anand D Patel, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Brookfield, WI
  • NPI 1518159599
  Authorized official Same address or phone

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1326462540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19275 W CAPITOL DR",
            "address_2": "SUITE 205",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452742",
            "telephone_number": "262-701-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19275 W CAPITOL DR",
            "address_2": "SUITE 205",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452742",
            "telephone_number": "262-701-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISAGE FACIAL PLASTIC SURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANAND",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-839-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.