Premier Plastic Surgery PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PREMIER PLASTIC SURGERY PA

Practice address

20375 W 151 St Street
Suite 370
Olathe, KS 66061

Phone

(913) 782-0280

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. John B Moore IV, MD

Title

Partner

Phone

(913) 782-0707

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1780806216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20375 W 151 ST STREET",
            "address_2": "SUITE 370",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66061",
            "telephone_number": "913-782-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20375 W 151 ST STREET",
            "address_2": "SUITE 370",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66061",
            "telephone_number": "913-782-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PLASTIC SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "913-782-0707",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "24300011",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lukkamol Prapkree, PHD, RDN, LD
• Nick A. Prater, D.D.S.
• Sarah Prater, BA
• Myranda Prather, DNP, APRN, FNP-C
• Preferred Pediatrics
• Presbyterian Manors, Inc.
• Richard Lee Presley, M.S. LCMFT
• Megan Pribyl, PT, CMPT, CMTPT
• Alison Renee Price, APRN
• Kennedy Elyse Price, LPC-T

• Specialist in Olathe, KS
• Providers in Olathe, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.