Active NPI
Sumter Plastic and Reconstructive Surgery, LLC
- Plastic Surgery Physician
- Sumter, SC
National Provider Identifier
1609103530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- TL32263
- 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 SERVICES
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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 DirectoryNPI 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.