Organization Active NPI

Vero Facial Cosmetic Surgery & Medispa ,PLLC

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Vero Beach, FL
National Provider Identifier
1730544172
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
Legal business name
VERO FACIAL COSMETIC SURGERY & MEDISPA ,PLLC
Practice address
1255 37TH St Ste D
Vero Beach, FL 32960-6550
Phone
(772) 562-2400
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Katsirayna S Huseva Bailor, M.D.
Title
Owner/Medical Director
Phone
(772) 562-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0099X Primary

Addresses

Primary practice location

1255 37TH St Ste D
Vero Beach, FL 32960-6550

Mailing address

1255 37TH St. Suite D
Vero Beach, FL 32960
Phone (772) 562-2400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1730544172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 37TH ST. SUITE D",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32960",
            "telephone_number": "772-562-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 37TH ST STE D",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606550",
            "telephone_number": "772-562-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERO FACIAL COSMETIC SURGERY & MEDISPA ,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "HUSEVA BAILOR",
        "authorized_official_first_name": "KATSIRAYNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "772-562-2400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.