Soma Plastic Surgery and Hand Clinic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

18863 Issued in MS

Legal business name

SOMA PLASTIC SURGERY AND HAND CLINIC

Practice address

2630 Courthouse Cir Ste a
Flowood, MS 39232-9562

Phone

(601) 914-0732

Fax

(601) 914-5598

NPI assigned

Apr 5, 2010

Last updated

Apr 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tanya Monique Oswald, MDNPI 1467654376

Title

Owner

Phone

(601) 914-0732

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

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.

• Tanya Monique Oswald, M.D.

  • Plastic Surgery Physician
  • Centennial, CO
  • NPI 1467654376
  NPD (past) Authorized official

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1629393491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 COURTHOUSE CIR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329562",
            "telephone_number": "601-914-0732",
            "fax_number": "601-914-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 COURTHOUSE CIR STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329562",
            "telephone_number": "601-914-0732",
            "fax_number": "601-914-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA PLASTIC SURGERY AND HAND CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "OSWALD",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-914-0732",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MS",
            "license": "18863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1467654376",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9065378",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "302I248082",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05606851",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheena Renell Smith Smoot, FNP
• Carla Russell Snopek, R.D.
• Stephen R Snypes, M.D.
• Sollevamenti, PLLC
• Anna Solomon
• Somnus Sleep Clinic of Central Mississippi, LLC (Somnus Sleep Clinic)
• Suthin Songcharoen, M.D.
• Taylor South
• Southeast Regional Medical Solutions, PLLC
• Southeastern Transitional Care Management Services

• Medical Specialty Clinic/Center in Flowood, MS
• Providers in Flowood, MS by specialty
• Medical Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.