Midwest Center for Plastic Surgery

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

MIDWEST CENTER FOR PLASTIC SURGERY

Practice address

1 Memorial Dr Ste 216
Decatur, IL 62526-6321

Phone

(217) 876-9987

Fax

(217) 876-1792

NPI assigned

Dec 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuella Joseph, MD

Title

President

Phone

(217) 876-9987

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467512756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2077",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625242077",
            "telephone_number": "217-876-9987",
            "fax_number": "217-876-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL DR STE 216",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266321",
            "telephone_number": "217-876-9987",
            "fax_number": "217-876-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CENTER FOR PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "EMMANUELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-876-9987",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Merideth, DPT
• Ashley Marie Merris
• Katlyn Merris
• Kendra Merris, RBT
• Mid-State Eye Partners Inc
• Midwest Eye Associates LLC
• Midwest Healthcare Center SC
• Midwest Internal Medicine SC
• Midwest Neurology Associates, S.C.
• Midwest Neurology Associates, S.C.

• Plastic Surgery Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Plastic Surgery Physician in Illinois

• 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.