Correa Plastic Surgery PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

CORREA PLASTIC SURGERY PLLC

Practice address

4850 W Panther Creek Dr
#105
The Woodlands, TX 77381-3607

Phone

(832) 779-2778

Fax

(832) 403-2201

NPI assigned

Mar 20, 2014

Organization subpart

No

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

Authorized official

Name

Bryan J Correa, MDNPI 1306085535

Title

President

Phone

(832) 779-2778

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Bryan J Correa, M.D.

  • Plastic Surgery Physician
  • The Woodlands, TX
  • NPI 1306085535
  Medicare reassignment Care Compare group NPD Authorized official
• Caroline Elizabeth Clarke, MD

  • Plastic Surgery Physician
  • Montgomery, TX
  • NPI 1104078781
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597104000000",
    "number": "1811314479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 W PANTHER CREEK DR",
            "address_2": "#105",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813607",
            "telephone_number": "832-779-2778",
            "fax_number": "832-403-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 W PANTHER CREEK DR",
            "address_2": "#105",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813607",
            "telephone_number": "832-779-2778",
            "fax_number": "832-403-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORREA PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-779-2778",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Dawn Corbeil, OTR
• Russell Lee Corcoran
• Tina Louise Cordero, PA-C
• Blythe Monroe Cordova, LPC-ASSOCIATE
• Core Health Chiropractic, LLC
• Bryan J Correa, M.D.
• Angela Coscio, MD
• Costco Wholesale Corporation (Costco Hearing Aid #1189)
• Costco Wholesale Corporation (Costco Optical #1189)
• Priscilla Carrera Cote, MA/EDS, LPC

• Plastic and Reconstructive Surgery Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.