MEDICAL COSMETIC CENTER, LLC (NPI# 1174655880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174655880 |
| Entity Type | Organization |
| Organization Name | MEDICAL COSMETIC CENTER, LLC |
| Practice Address |
7145 E Virginia St Suite 2000 Evansville IN 47715-9124 |
| Practice Telephone | 8124766161 |
| Practice Fax Number | 8124766162 |
| Mailing Telephone | 8124766161 |
| Mailing Fax Number | 8124766162 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-10-16 |
| Authorized Official Name | LISA HASTETTER (PRACTICE MANAGER) |
| Authorized Official Telephone | 8124766161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 01062143A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PROVIDER CAQH NUMBER | 11564440 | 01 |
| Street Address |
7145 E VIRGINIA ST SUITE 2000 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-9124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992770127 | Thomas Stephan Hastetter | Obstetrics & Gynecology | 7145 E Virginia St, Evansville, IN 47715-9144 | 2006-02-21 |
| 1609407964 | Erin Fuhrer | Nurse Practitioner | 7145 E Virginia St, Evansville, IN 47715-9144 | 2020-01-27 |
| 1093192387 | Evansville Obgyn | Specialist | 7145 E Virginia St, Evansville, IN 47715-9144 | 2015-05-06 |
| 1164833935 | Felicia Simmons | Nurse Practitioner | 7145 E Virginia St, Evansville, IN 47715-9144 | 2014-05-15 |
| 1154637965 | Embrace Family Medicine | Clinic/Center | 7145 E Virginia St, Evansville, IN 47715-9144 | 2010-08-31 |
| 1184856353 | Cosmetic Center of Evansville | Plastic Surgery | 7145 E Virginia St, Suite 2000, Evansville, IN 47715-9144 | 2009-08-20 |
| 1548403868 | Conquest,llc | Physical Therapist | 7145 E Virginia St, Suite 5000, Evansville, IN 47715-9144 | 2009-04-16 |
| 1508010901 | Evansville Family Medicine | Family Medicine | 7145 E Virginia St, Evansville, IN 47715-9124 | 2008-11-11 |
| 1801918024 | Center for Spine and Sports Medicine LLC | Physical Medicine & Rehabilitation | 7145 E Virginia St, Evansville, IN 47715-9144 | 2007-04-06 |
| 1114059839 | Thomas S. Hastetter Md LLC | Family Medicine | 7145 E Virginia St, Evansville, IN 47715 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184856353 | Cosmetic Center of Evansville | Plastic Surgery | 7145 E Virginia St, Suite 2000, Evansville, IN 47715-9144 | 2009-08-20 |
| 1437239746 | John Frederick Doepker Jr. | Plastic Surgery | 520 Mary Street, Suite 520, Evansville, IN 47710 | 2006-10-17 |
| 1982703740 | Guido Peter Gutter | Plastic Surgery | 1020 Professional Blvd, Ste.b, Evansville, IN 47714-8009 | 2006-09-21 |
| 1326156175 | Richard Roy Orr Jr. | Plastic Surgery | 3700 Bellemeade Ave, Suite 112, Evansville, IN 47714-0102 | 2006-08-29 |
| 1609830306 | Lisle Wayne II | Plastic Surgery | 3700 Bellemeade Ave, Ste 105, Evansville, IN 47714-0102 | 2006-04-12 |
| 1407818529 | John Pulcini | Plastic Surgery | 3700 Bellemeade Ave, Suite 105, Evansville, IN 47714-0102 | 2006-04-04 |
| 1750343893 | Evansville Plastic Surgical Associates | Plastic Surgery | 3700 Bellemeade Ave, Suite 105, Evansville, IN 47714-0102 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215476981 | Nabil Elsahy | Plastic Surgery | 11680 Bluefin Ct, Indianapolis, IN 46236-8500 | 2017-02-14 |
| 1942543681 | Navid Pourtaheri | Plastic Surgery | 705 Riley Hospital Dr Ste 3538, Indianapolis, IN 46202-5109 | 2013-04-01 |
| 1174850598 | Alexis Armour | Plastic Surgery | 368 Bielby Rd Ste 120, Lawrenceburg, IN 47025-1067 | 2009-11-05 |
| 1558597807 | Sewit Amde | Plastic Surgery | 300 E Boyd Avenue, Suite 100, Greenfield, IN 46140-2816 | 2009-06-01 |
| 1841432374 | David S. Slatton Md, PC | Plastic Surgery | 9302 N. Meridian Street, Suite 220, Indianapolis, IN 46260 | 2009-03-30 |
| 1790942175 | Ovidiu Gratian Cristea | Plastic Surgery | 2158 Intelliplex Dr Ste 100, Shelbyville, IN 46176-8548 | 2008-05-22 |
| 1497926893 | Advanced Plastic Surgery of Terre Haute, LLC | Plastic Surgery | 100 E Halt Dr, Terre Haute, IN 47802-4210 | 2008-03-13 |
| 1992916290 | Ryan Patrick Flannagan | Plastic Surgery | 2005 Saint Charles St Ste 4, Jasper, IN 47546-9146 | 2007-05-25 |
| 1457573917 | Jessica Nguyen Gillespie | Plastic Surgery | 8051 South Emerson Avenue, Suite 450, Indianapolis, IN 46237 | 2007-05-03 |
| 1831220938 | William C Sando | Plastic Surgery | 9700 E 146th St Ste 150, Noblesville, IN 46060-4333 | 2007-03-08 |
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| City | EVANSVILLE |
| Zip Code | 47715 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.