Eastern Shore Cosmetic Surgery PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

23669 Issued in AL

Legal business name

EASTERN SHORE COSMETIC SURGERY PC

Practice address

7541 Cipriano CT
Fairhope, AL 36532-3029

Phone

(251) 929-7850

Fax

(251) 929-2500

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Denvia Potter

Title

Surgical Coordinator

Phone

(251) 929-7850

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1831592930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7541 CIPRIANO CT",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323029",
            "telephone_number": "251-929-7850",
            "fax_number": "251-929-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7541 CIPRIANO CT",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323029",
            "telephone_number": "251-929-7850",
            "fax_number": "251-929-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE COSMETIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "DENVIA",
        "authorized_official_title_or_position": "SURGICAL COORDINATOR",
        "authorized_official_telephone_number": "251-929-7850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "23669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Shore Anesthesia PC
• Eastern Shore Care Services
• Eastern Shore Care Services, P.C.
• Eastern Shore Children'S Clinic
• Eastern Shore Chiropractic & Sports Clinic, Inc
• Eastern Shore Ear, Nose & Throat Clinic, PC
• Eastern Shore Eye Care, PC
• Eastern Shore Gastroenterology, P.C.
• Eastern Shore Health Center, LLC
• Eastern Shore Heart Center

• Plastic Surgery Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Plastic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.