Plastic Surgery Clinic, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD0000019800 Issued in TN

Legal business name

PLASTIC SURGERY CLINIC, PLLC

Practice address

1909 Mallory LN
Franklin, TN 37067-2830

Phone

(615) 771-7718

Fax

(615) 771-6889

NPI assigned

Feb 1, 2007

Last updated

Dec 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Reagan Moore Sr., MDNPI 1750577896

Title

Sole Properitor

Phone

(615) 771-7718

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 4

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.

• Konrad Sarosiek, MD

  • Plastic Surgery Physician
  • Franklin, TN
  • NPI 1639313083

  Single Specialty

  Medicare reassignment NPD
• John Reagan Moore, MD

  • Specialist
  • Franklin, TN
  • NPI 1750577896
  Authorized official Same address or phone
• Paul Papillion, M.D.

  • Plastic Surgery Physician
  • Franklin, TN
  • NPI 1053431015
  NPD (past)
• Haley Johnston Wood, W.H.N.P.

  • Women's Health Nurse Practitioner
  • Franklin, TN
  • NPI 1255647277
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1508903931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672830",
            "telephone_number": "615-771-7718",
            "fax_number": "615-771-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MALLORY LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672830",
            "telephone_number": "615-771-7718",
            "fax_number": "615-771-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "REAGAN",
        "authorized_official_title_or_position": "SOLE PROPERITOR",
        "authorized_official_telephone_number": "615-771-7718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000019800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pitter Patter Podiatry and Integrative Health
• Demtrica D Pittman, BEHAVIOR TECHNICIANS
• Gayle S Pitts, FNP
• Hilary Roy Pitts, R.D.
• Karsen Plantamura, PHARMD
• Kenneth L Poag, M.D.
• Podiatric Minimally Invasive Surgery Center
• Rebekah Pogue, MMFT
• Selena Elizabeth Polgardy
• Politzer Consulting Group LLC

• Specialist in Franklin, TN
• Providers in Franklin, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.