NPIMap

Organization Active NPI

The Plastic Surgery Group

  • Specialist
  • Crestview Hills, KY
National Provider Identifier
1346468030
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE PLASTIC SURGERY GROUP
Practice address
340 Thomas More Pkwy
Suite 100
Crestview Hills, KY 41017-5100
Phone
(859) 331-8777
Fax
(859) 344-3263
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Julie Gander
Title
Office Manager
Phone
(513) 791-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

340 Thomas More Pkwy
Suite 100
Crestview Hills, KY 41017-5100

Mailing address

340 Thomas More Pkwy
Suite 100
Crestview Hills, KY 41017-5100
Phone (859) 331-8777

Other identifiers 1

IdentifierTypeStateIssuer
0167877MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
The Plastic Surgery Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

340 Thomas More Pkwy
Ste 100
Crestview Hills, KY 41017
Phone (513) 791-4440

Practitioners & affiliated clinicians

Practitioners 8

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346468030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 THOMAS MORE PKWY",
            "address_2": "SUITE 100",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175100",
            "telephone_number": "859-331-8777",
            "fax_number": "859-344-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 THOMAS MORE PKWY",
            "address_2": "SUITE 100",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175100",
            "telephone_number": "859-331-8777",
            "fax_number": "859-344-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLASTIC SURGERY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANDER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-791-4440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167877",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.