Gulf Coast Plastic Surgery P a

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

GULF COAST PLASTIC SURGERY P A

Practice address

215 Oak Dr South
Ste J
Lake Jackson, TX 77566

Phone

(979) 297-9289

Fax

(979) 299-1007

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Paul Pisarski, MD

Title

Owner

Phone

(979) 297-9289

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1356479588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OAK DR SOUTH",
            "address_2": "STE J",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "77566",
            "telephone_number": "979-297-9289",
            "fax_number": "979-299-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OAK DR SOUTH",
            "address_2": "STE J",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "77566",
            "telephone_number": "979-297-9289",
            "fax_number": "979-299-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PLASTIC SURGERY P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "PISARSKI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-297-9289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00353N",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Eye Center, P.a.
• Gulf Coast Gastroenterology Infusion
• Gulf Coast Gastroenterology Lab
• Gulf Coast Gastroenterology, PA
• Gulf Coast Med Supplies LLC
• Gulf Coast Primary Home Care Inc
• Gulf Coast Sleep Center and Diagnostics LLC
• Gulf Coast Sleep Center, L.P.
• Andrew Gunter, CRNA
• H-E-B, LP (HEB Pharmacy #707)

• Plastic and Reconstructive Surgery Physician in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.