NPIMap

Organization Active NPI

Plastic Surgery Consultants, LTD.

  • Medical Specialty Clinic/Center
  • Edina, MN
National Provider Identifier
1801055066
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
PLASTIC SURGERY CONSULTANTS, LTD.
Practice address
3300 Edinborough Way
Suite 505
Edina, MN 55435-5923
Phone
(952) 746-6767
Fax
(952) 746-6768
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Jane Super
Title
Clinic Administrator
Phone
(952) 746-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

3300 Edinborough Way
Suite 505
Edina, MN 55435-5923

Mailing address

3300 Edinborough Way
Suite 505
Edina, MN 55435-5923
Phone (952) 746-6767

National Provider Directory

National Provider Directory

Locations

3300 Edinborough Way
Ste 505
Edina, MN 55435
Phone (952) 746-6767

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1801055066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 EDINBOROUGH WAY",
            "address_2": "SUITE 505",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355923",
            "telephone_number": "952-746-6767",
            "fax_number": "952-746-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 EDINBOROUGH WAY",
            "address_2": "SUITE 505",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355923",
            "telephone_number": "952-746-6767",
            "fax_number": "952-746-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CONSULTANTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "SUPER",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "952-746-6767"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.

Verify at the official NPI Registry.