Plastic Surgery Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PLASTIC SURGERY INC

Practice address

40 Medical Park
Suite 200
Wheeling, WV 26003-6392

Phone

(304) 242-0590

Fax

(304) 242-9740

NPI assigned

Sep 16, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Bishop

Title

Office Manager

Phone

(304) 242-0590

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1609861525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MEDICAL PARK",
            "address_2": "SUITE 200",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036392",
            "telephone_number": "304-242-0590",
            "fax_number": "304-242-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MEDICAL PARK",
            "address_2": "SUITE 200",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036392",
            "telephone_number": "304-242-0590",
            "fax_number": "304-242-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-242-0590",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA0252",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA0252",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Rose Pietranton, NP-C
• Kaitlyn Jean Pinter, PHARM.D.
• Derek Pivac, PA-C
• Cesar Del Rosario Pizarro, MD
• Evangeline Carandang Pizarro, M.D.
• Elinor Pletcher
• Pockl-Dormas PC
• John Scott Pockl, O.D.
• Nancy Lee Pogacich
• Edward Phillips Polack, M.D.

• Specialist in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.