Plastic Surgery Specialists PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD10533 Issued in OR

Legal business name

PLASTIC SURGERY SPECIALISTS PC

Practice address

2959 Siskiyou Blvd
Suite a
Medford, OR 97504-8131

Phone

(541) 773-2110

Fax

(541) 734-7368

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

Ronald Glenn Worland, M.D.

Title

Owner

Phone

(541) 773-2110

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ronald G. Worland, M.D. Other name

Locations

Practitioners 1

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

• Brian Kreul, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Medford, OR
  • NPI 1205944782
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1780743526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 SISKIYOU BLVD",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048131",
            "telephone_number": "541-773-2110",
            "fax_number": "541-734-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 SISKIYOU BLVD",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048131",
            "telephone_number": "541-773-2110",
            "fax_number": "541-734-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "WORLAND",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-773-2110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD10533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019802",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald G. Worland, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sharon Denise Pittman
• Shelli Piver
• Planned Parenthood of Southwestern Oregon
• Planned Parenthood of Southwestern Oregon
• Darrin Kaye Plantenga
• Michele Platt
• Plenty Care LLC
• Jeremy Pliley
• John Plotycia
• Denise Plumb, MD

• Plastic Surgery Physician in Medford, OR
• Providers in Medford, OR by specialty
• Plastic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.