The Plastic Surgery Clinic PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

04-28013 Issued in KS

Legal business name

THE PLASTIC SURGERY CLINIC PA

Practice address

1419 Westport Landing PL
Suite 101
Manhattan, KS 66502-2906

Phone

(785) 776-7500

Fax

(785) 770-8558

NPI assigned

Sep 19, 2007

Last updated

Oct 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Allen Fischer, M.D.NPI 1134131402

Title

Owner/Doctor

Phone

(785) 776-7500

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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.

• Kenneth Allen Fischer, M.D.

  • Plastic Surgery Physician
  • Manhattan, KS
  • NPI 1134131402
  Authorized official Same address or phone

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1841486313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 WESTPORT LANDING PL",
            "address_2": "SUITE 101",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022906",
            "telephone_number": "785-776-7500",
            "fax_number": "785-770-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 WESTPORT LANDING PL",
            "address_2": "SUITE 101",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022906",
            "telephone_number": "785-776-7500",
            "fax_number": "785-770-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PLASTIC SURGERY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "785-776-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "KS",
            "license": "04-28013",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "KS",
            "license": "04-23013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100396860A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "110967",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Plastic Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.