Plastic Surgical Arts PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

0423967 Issued in KS

Legal business name

PLASTIC SURGICAL ARTS PA

Practice address

7001 W 121St St
Suite 101
Overland Park, KS 66209-2009

Phone

(913) 338-5600

Fax

(913) 338-3388

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Delpha M Hutton

Title

Practice Manager

Phone

(913) 338-5600

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1487753489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 W 121ST ST",
            "address_2": "SUITE 101",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092009",
            "telephone_number": "913-338-5600",
            "fax_number": "913-338-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 W 121ST ST",
            "address_2": "SUITE 101",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092009",
            "telephone_number": "913-338-5600",
            "fax_number": "913-338-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGICAL ARTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "DELPHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "913-338-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "0423967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "848958",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "207953001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE9413",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE9412",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Plastic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.