Organization Active NPI

Suman K. Das MD PA

  • Plastic Surgery Physician
  • Flowood, MS
National Provider Identifier
1578631248
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
10570 Issued in MS
Legal business name
SUMAN K. DAS MD PA
Doing business as
Das Plastic Surgery Center
Practice address
2629 Courthouse CRL
Flowood, MS 39232-9521
Phone
(601) 362-0611
Fax
(601) 362-0192
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Suman K Das, MD
Title
President
Phone
(601) 362-0611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 10570 MS Primary

Addresses

Primary practice location

2629 Courthouse CRL
Flowood, MS 39232-9521

Mailing address

2629 Courthouse CRL
Flowood, MS 39232-9521
Phone (601) 362-0611

Other identifiers 1

IdentifierTypeStateIssuer
00015355MedicaidMS

Other names 1

  • Das Plastic Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

2629 Courthouse Cir
Flowood, MS 39232
Phone (601) 362-0611

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578631248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 COURTHOUSE CRL",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329521",
            "telephone_number": "601-362-0611",
            "fax_number": "601-362-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 COURTHOUSE CRL",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329521",
            "telephone_number": "601-362-0611",
            "fax_number": "601-362-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMAN K. DAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-362-0611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "10570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015355",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Das Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.