Organization Active NPI

Sumter Plastic and Reconstructive Surgery, LLC

  • Plastic Surgery Physician
  • Sumter, SC
National Provider Identifier
1609103530
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
TL32263 Issued in SC
Legal business name
SUMTER PLASTIC AND RECONSTRUCTIVE SURGERY, LLC
Practice address
115 N Sumter St
Suite 115
Sumter, SC 29150-4972
Phone
(803) 774-5279
NPI assigned
Nov 13, 2009
Organization subpart
Yes
Parent organization
TUOMEY PROFESSIONAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Becky Dabbs
Title
Billing/Collections Manager
Phone
(803) 774-5279

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X TL32263 SC Primary

Addresses

Primary practice location

115 N Sumter St
Suite 115
Sumter, SC 29150-4972

Mailing address

115 N Sumter St
Suite 115
Sumter, SC 29150-4972

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1609103530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N SUMTER ST",
            "address_2": "SUITE 115",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N SUMTER ST",
            "address_2": "SUITE 115",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291504972",
            "telephone_number": "803-774-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMTER PLASTIC AND RECONSTRUCTIVE SURGERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TUOMEY PROFESSIONAL SERVICES",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "DABBS",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "BILLING/COLLECTIONS MANAGER",
        "authorized_official_telephone_number": "803-774-5279"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "TL32263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; 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.