Plastic Surgery of North Central Ohio, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

35-056696 Issued in OH

Legal business name

PLASTIC SURGERY OF NORTH CENTRAL OHIO, LLC

Practice address

278 Benedict Avenue
Building 3, Suite 450
Norwalk, OH 44857-2399

Phone

(419) 668-7010

Fax

(419) 668-7006

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Teresa Ghazoul, M.D.

Title

President

Phone

(419) 668-7010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1477593994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 BENEDICT AVENUE",
            "address_2": "BUILDING 3, SUITE 450",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572399",
            "telephone_number": "419-668-7010",
            "fax_number": "419-668-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 BENEDICT AVENUE",
            "address_2": "BUILDING 3, SUITE 450",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572399",
            "telephone_number": "419-668-7010",
            "fax_number": "419-668-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY OF NORTH CENTRAL OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "GHAZOUL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-668-7010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35-056696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deante Hakeem Patterson
• Dan Pauley
• Mary A Peters, MSN, APRN, PMHNP-BC
• Tricia Pickett-Hoover
• Jason Michael Planthaber, QMHS
• Angela Jean Pocock, QMHS
• David A Pocos, D.O.
• Podiatric Surgi Center Inc
• Latasha Sherie Ponder, LCDCIII MSCJ
• Teresa Irene Porter, OTA-01110

• Plastic Surgery Physician in Norwalk, OH
• Providers in Norwalk, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.