Young Cosmetic Surgery

Primary specialty

SpecialistTaxonomy code 174400000X

License

0435878 Issued in KS

Legal business name

YOUNG COSMETIC SURGERY

Practice address

14340 Metcalf Ave
Overland Park, KS 66223-2987

Phone

(913) 341-2188

Fax

(913) 341-0030

NPI assigned

May 15, 2015

Organization subpart

No

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

Authorized official

Name

Kim R Reser, RN

Title

Office Manager/RN

Phone

(913) 341-2188

Specialties & licenses 1

Addresses

Other names 1

• Advance Cosmetic Surgery Doing business as

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1740668235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14340 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232987",
            "telephone_number": "913-341-2188",
            "fax_number": "913-341-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14340 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232987",
            "telephone_number": "913-341-2188",
            "fax_number": "913-341-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG COSMETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "RESER",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER/RN",
        "authorized_official_telephone_number": "913-341-2188",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": "0435878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Cosmetic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen M Yetter, MD
• Cynthia Man-Shan Yin, O.D.
• Brecklyn Yocum
• Adina Yodler, PNP
• Junhee Yoon
• Alexandrea Ann Young
• Alexys Young
• Alyssa Young
• Dana E Young, DPT
• Frank Young, DDS

• Specialist in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.