Athenix Physicians Group, Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

C34000 Issued in CA

Legal business name

ATHENIX PHYSICIANS GROUP, INC.

Practice address

113 Waterworks Way Ste 300
Irvine, CA 92618-3174

Phone

(949) 450-0596

Fax

(949) 450-0804

NPI assigned

Jun 17, 2014

Last updated

Jun 17, 2014By 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

Dr. Maurice Sherman, M.D.

Title

Owner

Phone

(888) 276-1535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1649684630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ENTERPRISE STE 125",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562706",
            "telephone_number": "888-276-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WATERWORKS WAY STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183174",
            "telephone_number": "949-450-0596",
            "fax_number": "949-450-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENIX PHYSICIANS GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-276-1535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "C34000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.