Organization Active NPI

Ideal Facial Plastic & Laser Surgery PC

  • Plastic and Reconstructive Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1457649931
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
IDEAL FACIAL PLASTIC & LASER SURGERY PC
Practice address
2643 E Carson St
Pittsburgh, PA 15203-5109
Phone
(412) 621-3223
Fax
(412) 381-3039
NPI assigned
Jul 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Dr. Paul Leong, M.D.
Title
Owner
Phone
(412) 621-3223

Specialties & licenses 1

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

Addresses

Primary practice location

2643 E Carson St
Pittsburgh, PA 15203-5109

Mailing address

2643 E Carson St
Pittsburgh, PA 15203-5109
Phone (412) 621-3223

National Provider Directory

National Provider Directory

Locations

510 Pellis Rd
Greensburg, PA 15601
Phone (412) 621-3223

2643 E Carson St
Pittsburgh, PA 15203
Phone (412) 381-3969

301 Ohio River Blvd
Ste 204
Sewickley, PA 15143
Phone (412) 621-3223

1000 Stonewood Dr
Ste 200
Wexford, PA 15090
Phone (724) 778-3020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1457649931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152035109",
            "telephone_number": "412-621-3223",
            "fax_number": "412-381-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 E CARSON ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152035109",
            "telephone_number": "412-621-3223",
            "fax_number": "412-381-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL FACIAL PLASTIC & LASER SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "LEONG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-621-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.