Organization Active NPI

Aesthetic Surgery Associates LLP

  • Specialist
  • Killeen, TX
National Provider Identifier
1972772309
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AESTHETIC SURGERY ASSOCIATES LLP
Practice address
2301 S Clear Creek Rd
Suite 106
Killeen, TX 76549-4198
Phone
(254) 526-5106
Fax
(254) 526-7853
NPI assigned
Feb 29, 2008
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Charles R Day, MDNPI 1003899980
Title
Owner
Phone
(254) 626-5106

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)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2301 S Clear Creek Rd
Suite 106
Killeen, TX 76549-4198

Mailing address

PO Box 938
Killeen, TX 76540-0938
Phone (254) 634-6999

Other identifiers 2

IdentifierTypeStateIssuer
0040JFDOtherTXBCBS OF TEXAS
155219201MedicaidTX

National Provider Directory

National Provider Directory

Locations

800 W Central Texas Expy
Ste 100
Harker Heights, TX 76548
Phone (254) 526-5106

Practitioners & affiliated clinicians

Practitioners 2

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": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1972772309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 938",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765400938",
            "telephone_number": "254-634-6999",
            "fax_number": "254-200-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S CLEAR CREEK RD",
            "address_2": "SUITE 106",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494198",
            "telephone_number": "254-526-5106",
            "fax_number": "254-526-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC SURGERY ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-626-5106",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0040JFD",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155219201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.