East Alabama Plastic Surgery, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD.31455 Issued in AL

Legal business name

EAST ALABAMA PLASTIC SURGERY, LLC

Practice address

778 N Dean Rd
Suite 400
Auburn, AL 36830-4312

Phone

(334) 321-4989

NPI assigned

Jun 24, 2012

Last updated

Jun 24, 2012By 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. Ralph L Aquadro III, M.D.NPI 1992835722

Title

LLC Member

Phone

(334) 321-4989

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDIIBA

Practitioners 3

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.

• Ralph L Aquadro III, MD

  • Plastic Surgery Physician
  • Auburn, AL
  • NPI 1992835722

  Single Specialty

  Medicare reassignment NPD Authorized official
• Grant Alexander Bond, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Southlake, TX
  • NPI 1669890943

  AL

  Medicare reassignment NPD
• Michelle Hoang Nguyen

  • Physician Assistant
  • Auburn, AL
  • NPI 1518786441
  NPD

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

{
    "created_epoch": "1340496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340496000000",
    "number": "1659634624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 N DEAN RD",
            "address_2": "SUITE 400",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304312",
            "telephone_number": "334-321-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 N DEAN RD",
            "address_2": "SUITE 400",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368304312",
            "telephone_number": "334-321-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ALABAMA PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-24",
        "last_updated": "2012-06-24",
        "status": "A",
        "authorized_official_last_name": "AQUADRO",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "334-321-4989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "MD.31455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Alabama Neurosurgery and Spine
• East Alabama OBGYN LLC
• East Alabama Occupational Medicine
• East Alabama Optical Shop, LLC
• East Alabama Pediatric Dentistry & Orthodontics
• East Alabama Primary Care, LLC (East Alabama Primary Care)
• East Alabama Services for the Elderly, Inc.
• East Alabama Specialty Therapy Clinic, LLC (EAST Clinic)
• Shelby Odom Easter
• Kimble Eastman, CCC-SLP

• Plastic Surgery Physician in Auburn, AL
• Providers in Auburn, AL by specialty
• Plastic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.