Active NPI
Oasis Plastic Surgery, PLLC
- Plastic and Reconstructive Surgery Physician
- Scottsdale, AZ
National Provider Identifier
1841453594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 36143
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 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 DirectoryLocations
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.