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Organization Active NPI

Quintero Plastic Surgery and Cosmetic Center PLLC

  • Plastic Surgery Physician
  • Louisville, KY
National Provider Identifier
1790961761
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
39660 Issued in KY
Legal business name
QUINTERO PLASTIC SURGERY AND COSMETIC CENTER PLLC
Practice address
127 Fairfax Ave
Louisville, KY 40207-4905
Phone
(502) 895-1900
Fax
(502) 893-2937
NPI assigned
Jan 21, 2008
Last updated
Oct 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Greta J Thrasher
Title
Office Manager
Phone
(502) 895-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 39660 KY Primary

Addresses

Primary practice location

127 Fairfax Ave
Louisville, KY 40207-4905

Mailing address

PO Box 7342
Louisville, KY 40257-0342
Phone (502) 895-1900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1790961761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7342",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402570342",
            "telephone_number": "502-895-1900",
            "fax_number": "502-893-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 FAIRFAX AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074905",
            "telephone_number": "502-895-1900",
            "fax_number": "502-893-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTERO PLASTIC SURGERY AND COSMETIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "THRASHER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-895-1900"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KY",
            "license": "39660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.