CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY PSC (NPI# 1710084827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710084827 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY PSC |
| Other Organization Name | ATALLA PLASTIC SURGERY CENTER |
| Practice Address |
1048 Ashley St Ste 303 Bowling Green KY 42103-2451 |
| Practice Telephone | 2707968960 |
| Practice Fax Number | 2708425683 |
| Mailing Telephone | 2707968960 |
| Mailing Fax Number | 2708425683 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-10-07 |
| Authorized Official Name | DR. FOUAD V ATALLA (PRESIDENT/OWNER) |
| Authorized Official Telephone | 2707968960 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
33744 | KY | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 65903460 | 05 |
| Other Name | Type Code |
|---|---|
| Atalla Plastic Surgery Center | Doing Business As Name - Organization |
| Street Address |
1048 ASHLEY ST STE 303 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063408771 | Fouad Victor Atalla | Surgery | 1048 Ashley St Ste 303, Bowling Green, KY 42103-2451 | 2005-09-27 |
| 1104470699 | Commonwealth Health Corporation, Inc. | Surgery | 1048 Ashley St Ste 303, Bowling Green, KY 42103-2451 | 2019-08-01 |
| 1386986040 | Katherine Huber Durnen | Plastic Surgery | 1048 Ashley St Ste 303, Bowling Green, KY 42103-2451 | 2013-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346488335 | Bernard Salameh | Surgery | 996 Wilkinson Trce Ste C1, Bowling Green, KY 42103-3410 | 2009-01-28 |
| 1437260585 | Joseph J Zaydon Jr Md | Surgery | 720 2nd Street, Ste 302, Bowling Green, KY 42101 | 2006-08-31 |
| 1063408771 | Fouad Victor Atalla | Surgery | 1048 Ashley St Ste 303, Bowling Green, KY 42103-2451 | 2005-09-27 |
| 1104470699 | Commonwealth Health Corporation, Inc. | Surgery | 1048 Ashley St Ste 303, Bowling Green, KY 42103-2451 | 2019-08-01 |
| 1144671587 | Salameh Plastic Surgery, LLC | Surgery | 996 Wilkinson Trce Ste C1, Bowling Green, KY 42103-3410 | 2016-06-27 |
| 1710150057 | Joseph J Zaydon Jr. | Surgery | 720 2nd Ave, Suite 302, Bowling Green, KY 42101-1778 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518427335 | Susan Tucker Kornegay | Surgery | 740 S Limestone E101, Lexington, KY 40536-0001 | 2019-03-20 |
| 1255837696 | Edgar A. Lopez-suescum | Surgery | 726 Zorn Ave Apt 1, Louisville, KY 40206-1447 | 2018-04-04 |
| 1881126563 | Christopher Robert Howell | Surgery | University of Kentucky Chandler Hospital 800 Rose St, Lexington, KY 40536-0001 | 2017-03-31 |
| 1346402948 | Scott Joseph Rapp | Surgery | 222 S 1st St Ste 100, Louisville, KY 40202-1350 | 2008-06-26 |
| 1053339473 | Brian P Thornton | Surgery | 315 E Broadway Ste 300, Louisville, KY 40202-3700 | 2006-07-17 |
| 1235188863 | Ramsey Kevin Majzoub | Surgery | 6440 Dutchmans Pkwy, Suite 210, Louisville, KY 40205-3338 | 2006-05-10 |
| 1306813852 | Lesley Wong | Surgery | 740 S Limestone Ky Clinic K454, University of Kentucky - Division of Plastic Surgery, Lexington, KY 40536-0284 | 2006-03-03 |
| 1407844566 | Mary Lyn T Lu | Surgery | 126 Trivette Dr, Suite 201, Pikeville, KY 41501-1275 | 2005-10-12 |
| 1235124637 | Henry Garth Smith | Surgery | 1900 N Main St, Madisonville, KY 42431-9443 | 2005-09-13 |
| 1053313221 | Vera C Van Aalst-barker | Surgery | 901 Dupont Rd, Ste 202, Louisville, KY 40207-4644 | 2005-06-01 |
| Find all providers with the same taxonomy | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
Please comment or provide details below to improve the information on CENTER FOR PLASTIC & RECONSTRUCTIVE SURGERY PSC.
| 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.