Indiana Cosmetic & Plastic Surgeons, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

INDIANA COSMETIC & PLASTIC SURGEONS, LLC

Practice address

12425 Old Meridian St
Suite #B1
Carmel, IN 46032-8724

Phone

(317) 581-0001

Fax

(317) 581-0002

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth R Grasee, MD

Title

Owner

Phone

(317) 581-0001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carmel Cosmetic & Plastic Surgeons Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 2

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

• Debra C Bergman, MD

  • Plastic and Reconstructive Surgery Physician
  • Carmel, IN
  • NPI 1730116518

  IN

  Medicare reassignment Care Compare group NPD
• Elizabeth A Grasee, MD

  • Plastic and Reconstructive Surgery Physician
  • Carmel, IN
  • NPI 1740223510

  IN

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689292800000",
    "number": "1831103100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34518",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462340518",
            "telephone_number": "317-581-0001",
            "fax_number": "317-581-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 OLD MERIDIAN ST",
            "address_2": "SUITE #B1",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460328724",
            "telephone_number": "317-581-0001",
            "fax_number": "317-581-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA COSMETIC & PLASTIC SURGEONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A",
        "authorized_official_last_name": "GRASEE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-581-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200830270A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carmel Cosmetic & Plastic Surgeons",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carmel Cosmetic & Plastic Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Carmel, IN
• Plastic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.