Sandusky Plastic Surgery Inc

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

SANDUSKY PLASTIC SURGERY INC

Doing business as

Surgery Center of Sandusky

Practice address

2616 Hayes Ave
Sandusky Plastic Surgery Inc
Sandusky, OH 44870

Phone

(419) 626-2800

Fax

(419) 626-2820

NPI assigned

Jan 25, 2006

Last updated

Aug 22, 2020By 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

Kenneth Parschauer, DO

Title

Medical Director

Phone

(419) 626-2800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Surgery Center of Sandusky Doing business as

Tax ID family

Sandusky Plastic Surgery Inc2 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.

• Surgery Center of Sandusky

  dba Sandusky Plastic Surgery Inc

  • Ophthalmologic Surgery Clinic/Center
  • Sandusky, OH
  • NPI 1396725008
  NPD tax ID

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396715025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 HAYES AVE",
            "address_2": "SANDUSKY PLASTIC SURGERY INC",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-626-2800",
            "fax_number": "419-626-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 HAYES AVE",
            "address_2": "SANDUSKY PLASTIC SURGERY INC",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "44870",
            "telephone_number": "419-626-2800",
            "fax_number": "419-626-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDUSKY PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARSCHAUER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "419-626-2800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2071252",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000248840",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgery Center of Sandusky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Certified Registered Nurse Anesthetist in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Certified Registered Nurse Anesthetist in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.