DR. PHILLIP DAVID KHAN (NPI# 1205035102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205035102 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP DAVID KHAN |
| Credential | M.D. |
| Practice Address |
1456 N Howe St Ste 201 Southport NC 28461-2674 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 9107548808 |
| Mailing Telephone | 9107548808 |
| Mailing Fax Number | 9107548809 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | P6658 | TX | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 2013-00923 | NC | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | LL28527 | SC | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
P6658 | TX | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
2013-00923 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6 Doctors Circle, Suite 1, Supply, NC 284626358 | 9107548808 | 9107548809 |
| Street Address |
1456 N HOWE ST STE 201 |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-2674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538578174 | Novant Medical Group, Inc | Plastic Surgery | 1456 N Howe St Ste 201, Southport, NC 28461-2674 | 2014-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| Find all providers in zip 28461 | ||||
| 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 |
|---|---|---|---|---|
| 1538578174 | Novant Medical Group, Inc | Plastic Surgery | 1456 N Howe St Ste 201, Southport, NC 28461-2674 | 2014-08-07 |
| 1083889398 | Tito L. Vasquez | Plastic Surgery | 2600 Post Rd, Southport, CT 06890-1258 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457983116 | North Raleigh Plastic Surgery, Pa | Plastic Surgery | 9104 Falls of Neuse Rd Ste 204, Raleigh, NC 27615-2494 | 2020-02-10 |
| 1477197085 | Meredith Kathryn Fleming | Plastic Surgery | 1331 N Elm St Ste 100, Greensboro, NC 27401-6303 | 2019-11-06 |
| 1821653205 | Moses Cone Physician Services, Inc. | Plastic Surgery | 1002 N Church St Ste 100, Greensboro, NC 27401-1447 | 2019-05-01 |
| 1811428626 | Unc Aesthetic, Laser, and Burn Center | Plastic Surgery | 151 Old University Station Rd, Chapel Hill, NC 27514-1935 | 2017-03-23 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1902252265 | Arya Andre Akhavan | Plastic Surgery | 7040 Burnett Womack, Chapel Hill, NC 27599-7040 | 2016-05-05 |
| 1790181436 | Healing Waters Cosmetic Clinic, Pllc | Plastic Surgery | 6813 Fayetteville Rd, Suite 101, Durham, NC 27713-8721 | 2014-11-07 |
| 1699108415 | Robert T Buchanan Md Inc | Plastic Surgery | 209 Hospital Dr Ste 202, Highlands, NC 28741-6326 | 2013-08-15 |
| 1639479595 | Edward Joseph Bednar | Plastic Surgery | 439 N Wendover Rd, Charlotte, NC 28211-1064 | 2010-10-26 |
| 1487975991 | Medventures LLC | Plastic Surgery | 1011 N Lindsay St Ste 202, High Point, NC 27262-3945 | 2010-06-18 |
| Find all providers with the same taxonomy | ||||
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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.