Active NPI
Plastic Surgery Specialists, PC
- Plastic and Reconstructive Surgery Physician
- Abingdon, VA
National Provider Identifier
1376533067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 0101840454
- Legal business name
- PLASTIC SURGERY SPECIALISTS, PC
- Practice address
- 112 Abingdon PL
Abingdon, VA 24211-5197 - Phone
- (276) 623-4500
- Fax
- (276) 623-4510
- NPI assigned
- Oct 25, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roger Emory, M.D.
- Title
- President
- Phone
- (276) 623-4500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 0101840454 | VA | Primary |
Addresses
Primary practice location
112 Abingdon PL
Abingdon, VA 24211-5197
Mailing address
112 Abingdon PL
Abingdon, VA 24211-5197
Phone (276) 623-4500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 427211 | Other | COMBINED INSURANCE | |
| 6900283 | Medicaid | VA | |
| 451661 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
112 Abingdon Pl
Abingdon, VA 24211
Phone (276) 623-4500
260 McLaws Cir
Williamsburg, VA 23185
Phone (757) 345-5599
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic and Reconstructive Surgery Physician
- Abingdon, VA
- NPI 1356331037
-
- Otolaryngology Physician
- Winchester, VA
- NPI 1871553446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1376533067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 ABINGDON PL",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242115197",
"telephone_number": "276-623-4500",
"fax_number": "276-623-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 ABINGDON PL",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242115197",
"telephone_number": "276-623-4500",
"fax_number": "276-623-4510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGERY SPECIALISTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EMORY",
"authorized_official_first_name": "ROGER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "276-623-4500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "VA",
"license": "0101840454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMBINED INSURANCE",
"identifier": "427211",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6900283",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "451661",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.