Plastic Surgery Center, Inc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

41340 Issued in KY

Legal business name

PLASTIC SURGERY CENTER, INC

Doing business as

Plastic Surgery Center

Practice address

1851 N Main St
Madisonville, KY 42431-9024

Phone

(270) 245-2105

Fax

(270) 452-2355

NPI assigned

Mar 22, 2013

Organization subpart

No

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

Authorized official

Name

Tammy M Smith

Title

Practice Manager

Phone

(270) 245-2105

Specialties & licenses 1

Addresses

Other names 1

• Plastic Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 4

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

• Henry Garth Smith, DMD MD

  • Plastic and Reconstructive Surgery Physician
  • Madisonville, KY
  • NPI 1235124637
  Medicare reassignment NPD
• Austin McCuiston, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Paducah, KY
  • NPI 1003221607
  NPD (past)
• Todd Edward Stiles, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Paducah, KY
  • NPI 1861547309
  NPD (past)
• Carolyn S Watson, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Paducah, KY
  • NPI 1871572602
  NPD (past)

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1972845493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319024",
            "telephone_number": "270-245-2105",
            "fax_number": "270-452-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424319024",
            "telephone_number": "270-245-2105",
            "fax_number": "270-452-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "270-245-2105"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KY",
            "license": "41340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plastic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Selena Phaup
• Candida Phelps
• Charles D Phelps, RN
• Susan Lynn Phelps, M.S.
• Nicole Pickerel
• Tudor Popescu, MD
• Lacey Powell, PTA
• Heather Dawn Powers, APRN
• Practitioner Touch LLC
• Stephanie Danielle Pride, COTA

• Plastic and Reconstructive Surgery Physician in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Plastic and Reconstructive Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.