Foothills Plastic Surgery, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

21476 Issued in SC

Legal business name

FOOTHILLS PLASTIC SURGERY, LLC

Practice address

2755 S Highway 14
Suite 2150
Greer, SC 29650-4902

Phone

(864) 288-8118

Fax

(864) 288-8113

NPI assigned

Mar 7, 2007

Last updated

Jun 27, 2008By 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. W. John Suber, M.D.

Title

Owner

Phone

(864) 288-8118

Specialties & licenses 1

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.

• Walter John Suber Jr., M.D.

  • Specialist
  • Greer, SC
  • NPI 1407994767
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1861522922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 S HIGHWAY 14",
            "address_2": "SUITE 2150",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504902",
            "telephone_number": "864-288-8118",
            "fax_number": "864-288-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 S HIGHWAY 14",
            "address_2": "SUITE 2150",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504902",
            "telephone_number": "864-288-8118",
            "fax_number": "864-288-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "SUBER",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-288-8118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "21476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "21476",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214761",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melonie Norman Fleshman, APRN, FNP
• Flourish Upstate Counseling LLC
• April Darnell Flournoy
• Cynthia Foote, LPC-A
• Foothills Hearing Care
• For Sight, P.C.
• Emilie Ford
• Ryan S Ford, D.C.
• Ashley Forslund
• Sarah Joy Forsthoff, COTA/L

• Specialist in Greer, SC
• Providers in Greer, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.