Southern Tier Plastic Surgery Associates PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

1857511 Issued in NY

Legal business name

SOUTHERN TIER PLASTIC SURGERY ASSOCIATES PC

Practice address

445 E Water St
Elmira, NY 14901-3410

Phone

(607) 734-2067

Fax

(607) 732-1349

NPI assigned

Jun 10, 2006

Last updated

Jun 5, 2008By 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. Mark S Anthony, MDNPI 1972597631

Title

President

Phone

(607) 734-2067

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

Practitioners 1

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.

• Mark S. Anthony, M.D.

  • Plastic Surgery Physician
  • Elmira, NY
  • NPI 1972597631
  Authorized official Same address or phone

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1437190162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013410",
            "telephone_number": "607-734-2067",
            "fax_number": "607-732-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013410",
            "telephone_number": "607-734-2067",
            "fax_number": "607-732-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER PLASTIC SURGERY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-734-2067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1857511",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "201319",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "2323781",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02581717",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01266788",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01613441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Tier Counseling Center, LLC
• Southern Tier Dentistry, PC (Elmira Family Dentist)
• Southern Tier Emergency Physicians
• Southern Tier Oncology, PC
• Southern Tier Orthodontics PC
• Southern Tier Scanning
• Ramona A. Sowers, FNP
• Olivia Spadafora, LMSW
• Ashley Spallone
• Lindsay Claire Spallone, RN

• Specialist in Elmira, NY
• Providers in Elmira, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.