Texas Plastic Surgery Associates, PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

TEXAS PLASTIC SURGERY ASSOCIATES, PA

Practice address

800 12TH Ave Ste 100
Fort Worth, TX 76104-2519

Phone

(817) 810-0770

Fax

(817) 820-0242

NPI assigned

Aug 3, 2011

Last updated

Oct 13, 2021By 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. Robert G Anderson, MDNPI 1326064270

Title

Owner

Phone

(817) 810-0770

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Texas Plastic Surgery Associates, PA

  • Plastic Surgery Physician
  • Fort Worth, TX
  • NPI 1568740892

  O20111213000133

  Same enrollment

Locations

Practitioners 3

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.

• Robert G Anderson, MD

  • Plastic and Reconstructive Surgery Physician
  • Fort Worth, TX
  • NPI 1326064270
  Authorized official Same address or phone
• Dustin Clifton Derrick, M.D.

  • Plastic Surgery Physician
  • Fort Worth, TX
  • NPI 1295049070

  Single Specialty

  NPD
• Jeremy Joseph, MD

  • Student in an Organized Health Care Education/Training Program
  • Norfolk, VA
  • NPI 1225565203
  NPD

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1467730796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 12TH AVE",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042518",
            "telephone_number": "817-810-0770",
            "fax_number": "817-810-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 12TH AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042519",
            "telephone_number": "817-810-0770",
            "fax_number": "817-820-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PLASTIC SURGERY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-810-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas Orthotic & Prosthetic Systems Inc
• Texas Orthotic and Prosthetic Systems, Inc.
• Texas Pediatrics PLLC
• Texas Physician Resources, LLP
• Texas Physicians Specialized Medicine PLLC
• Texas Plastic Surgery Associates, PA
• Texas Prosmiles PLLC
• Texas Pulmonary & Critical Care Consultants, PA
• Texas Rehab Physicians Group PLLC
• Texas Rehabilitation Hospital of Fort Worth, LLC (Texas Rehabilitation Hospital)

• Plastic Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.