Valley Plastic Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

D0052892 Issued in MD

Legal business name

VALLEY PLASTIC SURGERY LLC

Practice address

10153 York Rd
Suite 108
Hunt Valley, MD 21030-3398

Phone

(410) 628-8200

Fax

(410) 628-8203

NPI assigned

Aug 15, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Wendy Wells

Title

Purchasing Manager

Phone

(410) 628-8200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1770775538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10153 YORK RD",
            "address_2": "SUITE 108",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210303398",
            "telephone_number": "410-628-8200",
            "fax_number": "410-628-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10153 YORK RD",
            "address_2": "SUITE 108",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210303398",
            "telephone_number": "410-628-8200",
            "fax_number": "410-628-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PLASTIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "PURCHASING MANAGER",
        "authorized_official_telephone_number": "410-628-8200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0052892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Hunt Valley, MD
• Providers in Hunt Valley, MD by specialty
• Plastic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.