West Magnolia Plastic Surgery PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

7481 Issued in TX

Legal business name

WEST MAGNOLIA PLASTIC SURGERY PA

Practice address

1200 W Magnolia Ave Ste 110
Fort Worth, TX 76104-4488

Phone

(817) 870-4833

Fax

(817) 870-4893

NPI assigned

Jun 19, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Emily B McLaughlin, MDNPI 1134134406

Title

Owner

Phone

(817) 870-4833

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Emily B McLaughlin, MD

  • Plastic and Reconstructive Surgery Physician
  • Fort Worth, TX
  • NPI 1134134406
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487184792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W MAGNOLIA AVE STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044488",
            "telephone_number": "817-870-4833",
            "fax_number": "817-870-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W MAGNOLIA AVE STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044488",
            "telephone_number": "817-870-4833",
            "fax_number": "817-870-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MAGNOLIA PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-870-4833",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "7481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS",
            "identifier": "W0130911",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Krystyna Wesp, D.O.
• Mary Carolyn Wesson, CRNA
• West Fort Worth Dermatology, P.a.
• West Keller Dental
• West LPN Fort Worth Oncology PLLC
• West Magnolia Surgery Center
• West Side Orthopaedic Clinic
• West Texas Dental Fort Worth PLLC
• West Texas Internal Medicine Clinic
• West Wharton County Hospital District

• 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 Jul 21, 2022; 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.