Legacy Eyelids & Cosmetic Surgery

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

LEGACY EYELIDS & COSMETIC SURGERY

Practice address

601 W FM 544 Ste 102
Murphy, TX 75094-4232

Phone

(214) 666-4663

NPI assigned

Oct 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Krishna Kalyam, MDNPI 1811259179

Title

President & Ceo

Phone

(214) 666-4663

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20705/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Krishna Priya Kalyam, MD

  • Ophthalmology Physician
  • Saint Louis, MO
  • NPI 1811259179

  TX

  Medicare reassignment NPD Authorized official
• Sirisha Gokaraju, MD

  • Rheumatology Physician
  • Allen, TX
  • NPI 1265850267
  NPD (past)

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1801439484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 LEGACY DR STE B3-154",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W FM 544 STE 102",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944232",
            "telephone_number": "214-666-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY EYELIDS & COSMETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "KALYAM",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "214-666-4663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Michaela Land, LPC-S
• Catherine Ann Laskaris, RPH
• Lco Enterprises, LLC
• Anh Thuy Le, PA-C
• Leeds Pharmacy LLC
• Lenexa Pharmacy LLC
• Victoria Beth Lewis, M.S. SLP-INTERN
• Paula Joyce Lingle, MS, LPC
• Lonestar Podiatry & Wellness, PLLC
• Lori Long

• Ophthalmic Plastic and Reconstructive Surgery Physician in Murphy, TX
• Providers in Murphy, TX by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.