NPIMap

Organization Active NPI

Skaggs Community Hospital Association

Doing business as Skaggs Plastic & Reconstructive Surgery

  • Plastic Surgery Physician
  • Branson, MO
National Provider Identifier
1801190459
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
52-53 Issued in MO
Legal business name
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Doing business as
Skaggs Plastic & Reconstructive Surgery
Practice address
121 Cahill Rd
Suite 205
Branson, MO 65616-2036
Phone
(417) 334-8253
Fax
(417) 337-8992
NPI assigned
Dec 22, 2010
Last updated
Dec 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Lisa L Pennetta
Title
Medical Staff Services
Phone
(417) 335-7490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 52-53 MO Primary

Addresses

Primary practice location

121 Cahill Rd
Suite 205
Branson, MO 65616-2036

Mailing address

121 Cahill Rd
Suite 205
Branson, MO 65616-2036
Phone (417) 334-8253

Other names 1

  • Skaggs Plastic & Reconstructive Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Branson Family Medicine28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1801190459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 CAHILL RD",
            "address_2": "SUITE 205",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162036",
            "telephone_number": "417-334-8253",
            "fax_number": "417-337-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CAHILL RD",
            "address_2": "SUITE 205",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162036",
            "telephone_number": "417-334-8253",
            "fax_number": "417-337-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGGS COMMUNITY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "PENNETTA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL STAFF SERVICES",
        "authorized_official_telephone_number": "417-335-7490"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "52-53",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skaggs Plastic & Reconstructive Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.