Advanced Plastic Reconstruction PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

ADVANCED PLASTIC RECONSTRUCTION PLLC

Practice address

9250 N 3Rd St
Suite 1003
Phoenix, AZ 85020-2402

Phone

(602) 331-7811

Fax

(602) 331-5886

NPI assigned

Jun 23, 2008

Last updated

Feb 27, 2018By 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

Pablo A Prichard, MD

Title

Owner

Phone

(602) 331-7811

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 5

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.

• Lewis Albert Andres, M.D.

  • Plastic Surgery Physician
  • Scottsdale, AZ
  • NPI 1902929508

  Plastic and Reconstructive Surgery

  NPD (past)
• Ashley B Deluca, PA-C

  • Surgical Physician Assistant
  • Yuma, AZ
  • NPI 1437303013
  NPD (past)
• Remus Repta, MD

  • Plastic and Reconstructive Surgery Physician
  • Scottsdale, AZ
  • NPI 1861615262
  NPD (past)
• Kristin Ann Williamson, PA

  • Medical Physician Assistant
  • Phoenix, AZ
  • NPI 1396933941
  NPD (past)
• Robert Bajnrauh, MD

  • Plastic Surgery Physician
  • Downey, CA
  • NPI 1346456183
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519689600000",
    "number": "1639330566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47490",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850687490",
            "telephone_number": "602-331-7811",
            "fax_number": "602-331-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST",
            "address_2": "SUITE 1003",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202402",
            "telephone_number": "602-331-7811",
            "fax_number": "602-331-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PLASTIC RECONSTRUCTION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2018-02-27",
        "status": "A",
        "authorized_official_last_name": "PRICHARD",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-331-7811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358484",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z124156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Advanced Reconstructive Surgical Associates

• Plastic and Reconstructive Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Plastic and Reconstructive Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.