Organization Active NPI

Oasis Plastic Surgery, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1841453594
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
36143 Issued in AZ
Legal business name
OASIS PLASTIC SURGERY, PLLC
Practice address
9590 E Ironwood Square Dr
Suite 108
Scottsdale, AZ 85258-4581
Phone
(480) 264-6428
Fax
(480) 264-6429
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Dr. Jennifer Ann Geoghegan, M.D.
Title
Owner
Phone
(480) 264-6428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X 36143 AZ Primary

Addresses

Primary practice location

9590 E Ironwood Square Dr
Suite 108
Scottsdale, AZ 85258-4581

Mailing address

15029 N Thompson Peak Pkwy
Suite B111-603
Scottsdale, AZ 85260-2217
Phone (480) 264-6428

National Provider Directory

National Provider Directory

Locations

15029 N Thompson Peak Pkwy
Ste B111603
Scottsdale, AZ 85260

9590 E Ironwood Square Dr
Ste 108
Scottsdale, AZ 85258
Phone (480) 264-6428

9590 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 391-7631

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1841453594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15029 N THOMPSON PEAK PKWY",
            "address_2": "SUITE B111-603",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602217",
            "telephone_number": "480-264-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9590 E IRONWOOD SQUARE DR",
            "address_2": "SUITE 108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584581",
            "telephone_number": "480-264-6428",
            "fax_number": "480-264-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS PLASTIC SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "GEOGHEGAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-264-6428",
        "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": "AZ",
            "license": "36143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.