Plastic Reconstructive Surgery Associates LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

34005536 Issued in OH

Legal business name

PLASTIC RECONSTRUCTIVE SURGERY ASSOCIATES LLC

Practice address

1151 Bethel Rd Ste 101
Columbus, OH 43220-2775

Phone

(614) 457-7772

Fax

(614) 326-2639

NPI assigned

Oct 29, 2007

Organization subpart

No

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

Authorized official

Name

Kim Valenzuela Sammons, CPC

Title

Medical Coder/Biller

Phone

(419) 756-1125

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bivik R Shah, MD

  • Plastic Surgery Physician
  • Columbus, OH
  • NPI 1558367839
  NPD (past)
• Rafael Villalobos, D.O.

  • Plastic Surgery Physician
  • Columbus, OH
  • NPI 1508946518
  NPD (past)

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1700065679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 BETHEL RD STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202775",
            "telephone_number": "614-457-7772",
            "fax_number": "614-326-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 BETHEL RD STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202775",
            "telephone_number": "614-457-7772",
            "fax_number": "614-326-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC RECONSTRUCTIVE SURGERY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "SAMMONS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "VALENZUELA",
        "authorized_official_title_or_position": "MEDICAL CODER/BILLER",
        "authorized_official_telephone_number": "419-756-1125",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "34005536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianne Nicole Plante, D.O.
• Evan M Plante, DC
• Sarah Grace Plantenga, MSW, LISW
• Thomas Plas
• Nancy H Plassman
• Gabrielle H Plata-Madrid, CT
• Platinum Health Care Services LLC
• Platinum Home Care, LLC
• Krista Dawn Plato, RNC CNNP
• Kathryn L Plax, MD

• Plastic Surgery Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.

Verify at the official NPI Registry.