Missouri Plastic & Hand Surgery PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

MISSOURI PLASTIC & HAND SURGERY PC

Practice address

300 S Mount Auburn Rd
Ste 100
Cape Girardeau, MO 63703-4920

Phone

(573) 651-4488

Fax

(573) 651-4488

NPI assigned

Dec 27, 2010

Last updated

Dec 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory A Tobin, MDNPI 1821097239

Title

President

Phone

(573) 651-4488

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

Midwest Physicians Surgeons PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Midwest Physicians & Surgeons PC

  • Plastic and Reconstructive Surgery Physician
  • Cape Girardeau, MO
  • NPI 1790784171
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory A Tobin, M.D.

  • Plastic Surgery Physician
  • Cape Girardeau, MO
  • NPI 1821097239
  Medicare reassignment Care Compare group NPD Authorized official
• Chase A Tobin, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Dakota Dunes, SD
  • NPI 1437546264

  MO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1376847830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637020070",
            "telephone_number": "573-651-4488",
            "fax_number": "573-651-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S MOUNT AUBURN RD",
            "address_2": "STE 100",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034920",
            "telephone_number": "573-651-4488",
            "fax_number": "573-651-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI PLASTIC & HAND SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-651-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #18074)
• Missouri Emergency Providers PC
• Missouri Imaging, Inc (Cape Imaging)
• Missouri Med LLC
• Missouri Medical Providers LLC (Solutions Medical Provider Services)
• Missouri United Psych LLC
• Missouri Upper Cervical Family Clinic LLC
• Missouri Veterans Home - Cape Girardeau (Cape Girardeau Veterans Home)
• Raven Mitchell
• Tara E Modglin, FNP

• Plastic and Reconstructive Surgery Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Plastic and Reconstructive Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.

Verify at the official NPI Registry.