Lewisburg Plastic Surgery and Laser Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

28421501 Issued in PA

Legal business name

LEWISBURG PLASTIC SURGERY AND LASER CENTER

Practice address

135 Walter Dr
Lewisburg, PA 17837-7482

Phone

(570) 524-7777

Fax

(570) 523-9165

NPI assigned

Aug 23, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Ernest Normington

Title

President

Phone

(570) 524-7777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Lewisburg Plastic Surgery and Laser Center

  • Plastic Surgery Physician
  • Lewisburg, PA
  • NPI 1124043708

  3072507326

  Same PAC ID

Listed as

Lewisburg Plastic Surgery and Laser CenterCCN 39C0001128

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander P. Moya, M.D.

  • Plastic Surgery Physician
  • Lewisburg, PA
  • NPI 1770546988
  NPD (past)
• Phillip C. Zawatski, CRNA

  • Certified Registered Nurse Anesthetist
  • Danville, PA
  • NPI 1245283555
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1902899289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 WALTER DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178377482",
            "telephone_number": "570-524-7777",
            "fax_number": "570-523-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WALTER DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178377482",
            "telephone_number": "570-524-7777",
            "fax_number": "570-523-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISBURG PLASTIC SURGERY AND LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "NORMINGTON",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-524-7777",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "28421501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewisburg Family Chiropractic
• Lewisburg Pediatrics
• Lewisburg Pharmacy
• Lewisburg Pharmacy Homecare
• Lewisburg Plastic Surgery and Laser Center
• Lewisburg RX
• Lewisburg Sport & Spine Chiropractic Center LLC
• Paul Stephen Lin, M.D.
• Lipski Eye Center PC
• Robert L Lipski, O.D.

• Ambulatory Surgical Clinic/Center in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• Ambulatory Surgical Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.