Greenville Plastic Surgery Associates, LTD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MD042232E Issued in PA

Legal business name

GREENVILLE PLASTIC SURGERY ASSOCIATES, LTD

Practice address

53 N Main St
Greenville, PA 16125-1809

Phone

(724) 588-2330

Fax

(724) 588-2335

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

John H Brown, MD

Title

Surgeon

Phone

(724) 588-2330

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1477573228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 N MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251809",
            "telephone_number": "724-588-2330",
            "fax_number": "724-588-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 N MAIN ST",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161251809",
            "telephone_number": "724-588-2330",
            "fax_number": "724-588-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE PLASTIC SURGERY ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "724-588-2330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "PA",
            "license": "MD042232E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0713544",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0719860",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greenville Medical Center - Upmc
• Greenville Neuromodulation Center, Inc.
• Greenville Orthopedic Association,Inc
• Greenville Otolaryngology, P.C.
• Greenville Pediatric Associates, LTD
• Greenville Rehabilitation & Nursing LLC
• Greenville Surgical Assoc., P.C.
• Christopher M. Griebel
• Heather Christine Groeger, LPN
• Duane Allan Gruber, D.D.S

• Plastic and Reconstructive Surgery Physician in Greenville, PA
• Providers in Greenville, PA by specialty
• Plastic and Reconstructive Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.