Active NPI
Body Spectrum Plastic Surgery LLC
- Specialist
- Lexington, KY
National Provider Identifier
1780867804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25491
- Legal business name
- BODY SPECTRUM PLASTIC SURGERY LLC
- Practice address
- 2414 Greatstone PT
Lexington, KY 40504-3274 - Phone
- (859) 224-1235
- Fax
- (859) 224-2382
- NPI assigned
- Dec 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce R Barton, M.D.
- Title
- Plastic Surgeon
- Phone
- (859) 224-1235
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25491 | KY | Primary |
Addresses
Primary practice location
2414 Greatstone PT
Lexington, KY 40504-3274
Mailing address
2414 Greatstone PT
Lexington, KY 40504-3274
Phone (859) 224-1235
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64254915 | Medicaid | KY | |
| 000000320800 | Other | KY | ANTHEM BC/BS |
National Provider Directory
National Provider Directory- Tax ID family
- Body Spectrum Plastic Surgery
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Plastic Surgery Physician
- Lexington, KY
- NPI 1649469354
Locations
2414 Greatstone Pt
Lexington, KY 40504
Phone (859) 224-1235
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Lexington, KY
- NPI 1912058132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211241600000",
"number": "1780867804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2414 GREATSTONE PT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043274",
"telephone_number": "859-224-1235",
"fax_number": "859-224-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2414 GREATSTONE PT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043274",
"telephone_number": "859-224-1235",
"fax_number": "859-224-2382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BODY SPECTRUM PLASTIC SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-12",
"last_updated": "2008-05-20",
"status": "A",
"authorized_official_last_name": "BARTON",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PLASTIC SURGEON",
"authorized_official_telephone_number": "859-224-1235",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "KY",
"license": "25491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64254915",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000320800",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.