Organization Active NPI

Advanced Plastic Surgery of Terre Haute, LLC

  • Plastic Surgery Physician
  • Terre Haute, IN
National Provider Identifier
1497926893
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
ADVANCED PLASTIC SURGERY OF TERRE HAUTE, LLC
Practice address
100 E Halt Dr
Terre Haute, IN 47802-4210
Phone
(812) 232-2100
Fax
(812) 232-1980
NPI assigned
Mar 13, 2008
Last updated
Dec 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Kenneth Washington
Title
Vice President
Phone
(703) 650-2907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X Primary

Addresses

Primary practice location

100 E Halt Dr
Terre Haute, IN 47802-4210

Mailing address

100 E Halt Dr
Terre Haute, IN 47802-4210
Phone (812) 232-2100

National Provider Directory

National Provider Directory

Locations

100 E Halt Dr
Terre Haute, IN 47802
Phone (812) 232-2100

3903 S 7th St
Ste 2D
Terre Haute, IN 47802
Phone (812) 232-2100

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1497926893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HALT DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024210",
            "telephone_number": "812-232-2100",
            "fax_number": "812-232-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HALT DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024210",
            "telephone_number": "812-232-2100",
            "fax_number": "812-232-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PLASTIC SURGERY OF TERRE HAUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "703-650-2907"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • 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.