Southeastern Facial Plastic Cosmetic Surgery Center, P.a.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SOUTHEASTERN FACIAL PLASTIC COSMETIC SURGERY CENTER, P.A.

Practice address

247 Calhoun St
Charleston, SC 29401-1306

Phone

(843) 722-5904

Fax

(843) 722-1564

NPI assigned

Feb 15, 2008

Organization subpart

No

Name

Mrs. Cynthia Costa

Title

Business Manager

Phone

(843) 722-5904

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

• Louis Costa II, D.M.D., M.D.

  • Specialist
  • Charleston, SC
  • NPI 1245297951
  NPD (past)
• Dana Heikes, M.D., F.A.C.S.

  • Specialist
  • Charleston, SC
  • NPI 1134151061
  NPD (past)
• Courtney Lobo

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1023794583
  NPD (past)
• Jason Patrick Ulm, M.D.

  • Plastic Surgery Physician
  • Mt Pleasant, SC
  • NPI 1184860330
  NPD (past)
• Alyssa Turner, PA-C

  • Physician Assistant
  • Nashville, TN
  • NPI 1497519946
  NPD (past)

• Southeastern Plastic Surgery Center Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2008.

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1467620161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011306",
            "telephone_number": "843-722-5904",
            "fax_number": "843-722-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011306",
            "telephone_number": "843-722-5904",
            "fax_number": "843-722-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN FACIAL PLASTIC COSMETIC SURGERY CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "COSTA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "843-722-5904",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern Plastic Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kinsey Knight Southard, PA-C
• Molly Mae Southard, RN
• Southeast Cardiology
• Southeast Endodontics, PC
• Southeast Wound Specialists, LLC
• Southern Home Care Services, Inc.
• William M Southgate, MD
• Douglas B Southworth, MD
• Joao Victor Souza Sanders
• Kathern Vaughn Sowards

• All providers in Charleston, SC
• Ambulatory Surgical Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.