NPIMap

Organization Active NPI

Plastic Surgery Associates of Montogmery P.C.

  • Specialist
  • Montgomery, AL
National Provider Identifier
1750429668
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PLASTIC SURGERY ASSOCIATES OF MONTOGMERY P.C.
Practice address
6727 Taylor CT
Montgomery, AL 36117-7708
Phone
(334) 284-2800
Fax
(334) 551-1014
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Mrs. Marsha D Chamlies
Title
Personnel MRG Insurance Specialist
Phone
(334) 284-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6727 Taylor CT
Montgomery, AL 36117-7708

Mailing address

6727 Taylor CT
Montgomery, AL 36117-7708
Phone (334) 284-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428001361 AL Part B Supplier - Clinic/Group Practice 0648267971 Receives reassigned benefits from 3 practitioners
Practice locations: Montgomery, AL

National Provider Directory

National Provider Directory
Tax ID family
Plastic Surgery Associates of Montgomery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6727 Taylor Ct
Montgomery, AL 36117
Phone (334) 284-2800

Practitioners & affiliated clinicians

Practitioners 4

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": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1750429668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 TAYLOR CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177708",
            "telephone_number": "334-284-2800",
            "fax_number": "334-551-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 TAYLOR CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177708",
            "telephone_number": "334-284-2800",
            "fax_number": "334-551-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY ASSOCIATES OF MONTOGMERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "CHAMLIES",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PERSONNEL MRG INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "334-284-2800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.