Kohli Plastic Surgery PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

38488 Issued in MA

Legal business name

KOHLI PLASTIC SURGERY PC

Practice address

21 Highland Ave
Suite 10
Newburyport, MA 01950-3872

Phone

(978) 666-0401

Fax

(978) 666-0403

NPI assigned

Apr 17, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gurmander Singh Kohli, M.D.

Title

President

Phone

(619) 519-1960

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1356738330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVENUW",
            "address_2": "SUITE 10",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "01950",
            "telephone_number": "978-666-0401",
            "fax_number": "978-666-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 HIGHLAND AVE",
            "address_2": "SUITE 10",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503872",
            "telephone_number": "978-666-0401",
            "fax_number": "978-666-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLI PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "KOHLI",
        "authorized_official_first_name": "GURMANDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-519-1960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MA",
            "license": "38488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lynn Klidaras
• Brian Kent Klink, MD
• Sally Cargill Knapp, MPH, RD, CSP, LDN
• Christopher J Knox, D.O.
• James W. Koglin, D.D.S
• Doron E. Korinow, MD
• Gretchen Kosegarten
• Michael F Kutka, MD
• Michelle R Laflamme, D.O.
• Michael Walter Lange, PHARMD

• Health Service Clinic/Center in Newburyport, MA
• Providers in Newburyport, MA by specialty
• Health Service Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.