Cascade Plastic Surgery PLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

4301049181 Issued in MI

Legal business name

CASCADE PLASTIC SURGERY PLC

Practice address

1514 Fourth St
Jackson, MI 49203-4032

Phone

(517) 780-0080

NPI assigned

Sep 14, 2012

Organization subpart

No

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

Authorized official

Name

John Argyle Gilmore Sampson, M.D.

Title

President

Phone

(517) 780-0080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1396095568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 FOURTH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034032",
            "telephone_number": "517-780-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 FOURTH ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034032",
            "telephone_number": "517-780-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE PLASTIC SURGERY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ARGYLE GILMORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-780-0080",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "4301049181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Renee Carter, LMSW
• Jane Carter
• Michael Cole Carter, DO
• Diane Nicole Cary, CHW
• Stacey Lynn Casanova, LMSW
• Cascade Senior Care Center LLC
• Cascades Orthopedic Rehabilitation Services
• Cascades Orthopedic Rehabilitation Services Inc
• Cascades Urology P.C.
• Chad Kenneth Case, M.S., P.A.-C

• Plastic Surgery Physician in Jackson, MI
• Providers in Jackson, MI by specialty
• Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.