Active NPI
Plastic Surgery Specialists Inc
- Plastic and Reconstructive Surgery Physician
- Fairfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- PLASTIC SURGERY SPECIALISTS INC
- Practice address
- 2960 Mack Rd
Suite 212
Fairfield, OH 45014-5373 - Phone
- (513) 874-0808
- NPI assigned
- May 4, 2007
- Last updated
- Apr 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Huai C Pan, M.D.
- Title
- President
- Phone
- (513) 874-0808
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Primary |
Addresses
Primary practice location
2960 Mack Rd
Suite 212
Fairfield, OH 45014-5373
Mailing address
2960 Mack Rd
Suite 212
Fairfield, OH 45014-5373
Phone (513) 874-0808
National Provider Directory
National Provider DirectoryLocations
2960 Mack Rd
Ste 212
Fairfield, OH 45014
Phone (513) 874-0808
Practitioners & affiliated clinicians
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.
-
- Plastic Surgery Physician
- Fairfield, OH
- NPI 1124098215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335744000000",
"number": "1659583516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2960 MACK RD",
"address_2": "SUITE 212",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145373",
"telephone_number": "513-874-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2960 MACK RD",
"address_2": "SUITE 212",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145373",
"telephone_number": "513-874-0808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLASTIC SURGERY SPECIALISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2012-04-30",
"status": "A",
"authorized_official_last_name": "PAN",
"authorized_official_first_name": "HUAI",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-874-0808",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.