Plastic Surgery Center, P.a.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

04-14427 Issued in KS

Legal business name

PLASTIC SURGERY CENTER, P.A.

Practice address

1861 N Webb Rd
Wichita, KS 67206-3413

Phone

(316) 688-7500

Fax

(316) 688-7543

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Amy Sprole, M.D.

Title

Plastic Surgeon

Phone

(316) 688-7500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Plastic Surgery Center, P.a.

  • Plastic Surgery Physician
  • Wichita, KS
  • NPI 1639253370

  8527094754

  Same PAC ID

Listed as

Plastic Surgery CenterCCN 17C0001037

Listed as

Plastic Surgery Center PACCN 17C0001902

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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

• Jennifer Ann Cameron, M.D.

  • Plastic Surgery Physician
  • Saint Paul, MN
  • NPI 1013151430

  KS

  Medicare reassignment NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1356447825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-688-7500",
            "fax_number": "316-688-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063413",
            "telephone_number": "316-688-7500",
            "fax_number": "316-688-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "SPROLE",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PLASTIC SURGEON",
        "authorized_official_telephone_number": "316-688-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "04-14427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macy Pitchford
• Dalan Pittz, MD
• Jamie Lynn Pitzer
• Lauren Anne Pizinger, APRN
• Planned Parenthood of Kansas & Mid-Missouri
• Plastic Surgery Center, P.a.
• Platinum Care Homes LLC
• Brittni Plato
• Gregory Neil Platt, LAC
• Bailee Pleasants

• Plastic Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Plastic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.