Organization Active NPI

Retson Plastic Surgerypc

  • Plastic Surgery Physician
  • Merrillville, IN
National Provider Identifier
1952581613
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
RETSON PLASTIC SURGERYPC
Practice address
8053 Cleveland PL
Merrillville, IN 46410-5303
Phone
(219) 769-4456
Fax
(219) 769-1468
NPI assigned
Nov 11, 2007
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Mr. Nicholas C Retson, M.D.NPI 1417020504
Title
Proprietor
Phone
(219) 769-4456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X NU Primary

Addresses

Primary practice location

8053 Cleveland PL
Merrillville, IN 46410-5303

Mailing address

8053 Cleveland PL
Merrillville, IN 46410-5303
Phone (219) 769-4456

Other identifiers 1

IdentifierTypeStateIssuer
100339140MedicaidIN

National Provider Directory

National Provider Directory

Locations

8053 Cleveland Pl
Merrillville, IN 46410
Phone (219) 769-4456

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1194739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1952581613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8053 CLEVELAND PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105303",
            "telephone_number": "219-769-4456",
            "fax_number": "219-769-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8053 CLEVELAND PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105303",
            "telephone_number": "219-769-4456",
            "fax_number": "219-769-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETSON PLASTIC SURGERYPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-11",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "RETSON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "219-769-4456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100339140",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.