Active NPI
Cesar a. Gumucio, MD, PC
- Plastic Surgery Physician
- Athens, GA
National Provider Identifier
1790047579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 32744
- Legal business name
- CESAR A. GUMUCIO, MD, PC
- Practice address
- 489 N Milledge Ave
Suite a
Athens, GA 30601-3807 - Phone
- (706) 613-6650
- Fax
- (706) 613-6868
- NPI assigned
- Jun 8, 2012
- 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. Cesar A Gumucio, MD, FACS
- Title
- President/Owner
- Phone
- (706) 613-6650
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 32744 | GA | Primary |
Addresses
Primary practice location
489 N Milledge Ave
Suite a
Athens, GA 30601-3807
Mailing address
489 N Milledge Ave
Suite a
Athens, GA 30601-3807
Phone (706) 613-6650
Other names 1
- Gumucio Plastic Surgery
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339113600000",
"number": "1790047579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 N MILLEDGE AVE",
"address_2": "SUITE A",
"city": "ATHENS",
"state": "GA",
"postal_code": "306013807",
"telephone_number": "706-613-6650",
"fax_number": "706-613-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 N MILLEDGE AVE",
"address_2": "SUITE A",
"city": "ATHENS",
"state": "GA",
"postal_code": "306013807",
"telephone_number": "706-613-6650",
"fax_number": "706-613-6868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CESAR A. GUMUCIO, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-08",
"last_updated": "2012-06-08",
"status": "A",
"authorized_official_last_name": "GUMUCIO",
"authorized_official_first_name": "CESAR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "706-613-6650",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, FACS"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": "GA",
"license": "32744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gumucio Plastic Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.