Organization Active NPI

Howard Regional Plastic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Kokomo, IN
National Provider Identifier
1447582457
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
01045232 Issued in IN
Legal business name
HOWARD REGIONAL PLASTIC SURGERY
Practice address
1948 W Boulevard
Kokomo, IN 46902-6078
Phone
(765) 236-1290
Fax
(765) 236-0420
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Mr. Thomas M Cook
Title
Cfo/VP of Finance
Phone
(765) 453-8179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 01045232 IN Primary

Addresses

Primary practice location

1948 W Boulevard
Kokomo, IN 46902-6078

Mailing address

1948 W Boulevard
Kokomo, IN 46902-6078
Phone (765) 236-1290

Other names 1

  • Howard Regional Health System Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1447582457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 W BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026078",
            "telephone_number": "765-236-1290",
            "fax_number": "765-236-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 W BOULEVARD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026078",
            "telephone_number": "765-236-1290",
            "fax_number": "765-236-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD REGIONAL PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO/VP OF FINANCE",
        "authorized_official_telephone_number": "765-453-8179",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IN",
            "license": "01045232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard Regional Health System",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.