Organization Active NPI

Palm Beach Facial Plastic Surgery LLC

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1720484686
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
ME91139 Issued in FL
Legal business name
PALM BEACH FACIAL PLASTIC SURGERY LLC
Practice address
4280 Professional Center Dr
Ste 310
Palm Beach Gardens, FL 33410-4280
Phone
(561) 659-9766
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Mark R Murphy, MD
Title
Owner
Phone
(561) 659-9766

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X ME91139 FL
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0099X ME91139 FL Primary

Addresses

Primary practice location

4280 Professional Center Dr
Ste 310
Palm Beach Gardens, FL 33410-4280

Mailing address

4280 Professional Center Dr
Ste 310
Palm Beach Gardens, FL 33410-4280
Phone (561) 659-9766

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1094869Palm Beach Facial Plastic Surgery LLC4280 Professional Ctr Dr Ste 310, Palm Beach Gardens, FL 33410Certificate of waiverJan 27, 2027

National Provider Directory

National Provider Directory

Locations

4280 Professional Center Dr
Ste 310
Palm Beach Gardens, FL 33410
Phone (561) 659-9766

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1720484686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 PROFESSIONAL CENTER DR",
            "address_2": "STE 310",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104280",
            "telephone_number": "561-659-9766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 PROFESSIONAL CENTER DR",
            "address_2": "STE 310",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104280",
            "telephone_number": "561-659-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH FACIAL PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-659-9766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "ME91139",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "FL",
            "license": "ME91139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.