Plastic Surgery Aesthetics PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

31852 Issued in IA

Legal business name

PLASTIC SURGERY AESTHETICS PC

Practice address

200 Mercy Dr Ste 101
Dubuque, IA 52001-7392

Phone

(563) 589-9119

Fax

(563) 589-9112

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Erin M Kennedy, M.D.NPI 1184611956

Title

President

Phone

(563) 589-9119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

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

• Erin M Kennedy, MD

  • Plastic Surgery Physician
  • Dubuque, IA
  • NPI 1184611956
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1831425347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERCY DR STE 101",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017392",
            "telephone_number": "563-589-9119",
            "fax_number": "563-589-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY DR STE 101",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017392",
            "telephone_number": "563-589-9119",
            "fax_number": "563-589-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY AESTHETICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-589-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IA",
            "license": "31852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Eugene Pierotti, M.D.
• Molly Jae Pilcher, ATC
• Pines Healthcare for Women
• Kimberly Victoria Pingel, DDS
• Katisha M Placke, BCBA
• Connie J Pline
• Luke R Ploessl, OD
• Rachael A. Ploessl, DNP, FNP-BC
• PO Counseling, LLC
• Brian P Poirier, M.P.T.

• Plastic and Reconstructive Surgery Physician in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Plastic and Reconstructive Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.