NPIMap

Organization Active NPI

Plastic Surgery Consultants

  • Ambulatory Surgical Clinic/Center
  • Columbia, SC
National Provider Identifier
1548451214
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
19438 Issued in SC
Legal business name
PLASTIC SURGERY CONSULTANTS
Practice address
1220 Blanding St
Columbia, SC 29201-2816
Phone
(803) 779-1200
Fax
(803) 779-1220
NPI assigned
Aug 7, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Richard J Wassermann, MD, MPH, FACSNPI 1336191931
Title
Medical Director
Phone
(803) 779-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 19438 SC Primary

Addresses

Primary practice location

1220 Blanding St
Columbia, SC 29201-2816

Mailing address

1220 Blanding St
Columbia, SC 29201-2816
Phone (803) 779-1200

Other identifiers 1

IdentifierTypeStateIssuer
GP3494MedicaidSC

Other names 1

  • PSC - Ambulatory Surgery Center Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1548451214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012816",
            "telephone_number": "803-779-1200",
            "fax_number": "803-779-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BLANDING ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012816",
            "telephone_number": "803-779-1200",
            "fax_number": "803-779-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "WASSERMANN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "803-779-1200",
        "authorized_official_credential": "MD, MPH, FACS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "19438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3494",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSC - Ambulatory Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.