Image Consultants Plastic Surgery

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

P2248 Issued in TX

Legal business name

IMAGE CONSULTANTS PLASTIC SURGERY

Practice address

1480 Redd Road
El Paso, TX 79912

Phone

(915) 600-2639

NPI assigned

Sep 13, 2012

Organization subpart

No

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

Authorized official

Name

Marianne Amster, CPC

Title

Director of Bill / Collections

Phone

(631) 379-5284

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Marco Antonio Gonzalez, MD

  • Plastic and Reconstructive Surgery Physician
  • El Paso, TX
  • NPI 1710216130
  Medicare reassignment

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1821348202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 REDD RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799113026",
            "telephone_number": "915-600-2639",
            "fax_number": "915-702-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 REDD ROAD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-600-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE CONSULTANTS PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "AMSTER",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_title_or_position": "DIRECTOR OF BILL / COLLECTIONS",
        "authorized_official_telephone_number": "631-379-5284",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P2248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• IHS at Hanover House Inc
• Chika Anthonia Ikeakor
• Jordan Leigh Ikeler, MD
• Kachikwulu Chukwuemeka Ikem, DDS
• Illuminated Direction LLC
• Yesenia Imai, AGACNP-BC
• Imperial Home Health LLC
• Implant and Periodontal Specialty Assoc
• George Imuro, M.D.
• Individual Home Health Care LLC

• Plastic and Reconstructive Surgery Physician in El Paso, TX
• Providers in El Paso, 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 Dec 22, 2021; 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.