Active NPI
Oasis Plastic Surgery, PLLC
- Plastic and Reconstructive Surgery Physician
- Scottsdale, AZ
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
- Last updated
- Oct 17, 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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
Scottsdale, AZ 85258
Phone (480) 391-7631
9590 E Ironwood Square Dr
Ste 108
Scottsdale, AZ 85258
Phone (480) 264-6428
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Plastic and Reconstructive Surgery Physician
- Scottsdale, AZ
- NPI 1154525715
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.