OMNIVERSE PLASTIKOS PA (NPI# 1871724500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871724500 |
| Entity Type | Organization |
| Organization Name | OMNIVERSE PLASTIKOS PA |
| Practice Address |
14 Professional Pkwy Suite C Ridgeland MS 39157-4190 |
| Mailing Address |
1888 Main St Suite C, #272 Madison MS 39110-6337 |
| Practice Telephone | 6018241492 |
| Mailing Telephone | 6018241492 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2010-12-20 |
| Authorized Official Name | DR. ARNO RENE SCHLEICH (PRESIDENT) |
| Authorized Official Telephone | 6018241492 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
20023 | MS | Allopathic & Osteopathic Physicians |
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
20023 | MS | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
20023 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
14 PROFESSIONAL PKWY SUITE C |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-4190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376577064 | Jean M Hawks | Psychologist | 14 Professional Pkwy, Ridgeland, MS 39157-4190 | 2006-07-10 |
| 1457801805 | Jennifer Denton Hankins | Social Worker | 14 Professional Pkwy, Ridgeland, MS 39157-4190 | 2016-10-10 |
| 1891109195 | Katie Sahler | Counselor | 14 Professional Pkwy, Ridgeland, MS 39157-4190 | 2014-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| 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 |
|---|---|---|---|---|
| 1184022485 | Mississippi Center for Plastic Surgery | Surgery | 200 W Jackson St, Suite 100, Ridgeland, MS 39157-2310 | 2014-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023477841 | Plastic Surgery of North Ms., Pa | Surgery | 4248 S Eason Blvd Ste B, Tupelo, MS 38801-6549 | 2016-02-22 |
| 1164511374 | Suman Kumar Das | Surgery | 2629 Courthouse Cir, Flowood, MS 39232-9521 | 2006-10-12 |
| 1477568749 | Forrest Simpson Wells | Surgery | 4509 Gibson Rd, Ocean Springs, MS 39564-6026 | 2006-07-29 |
| 1043872948 | John Magruder Sullivan IIi | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2019-07-01 |
| 1508352196 | Katherine Christine Benedict | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2018-07-06 |
| 1891087417 | William Darden North | Surgery | 1055 River Oaks Dr, Flowood, MS 39232-9595 | 2011-05-16 |
| 1841581352 | South Central Cinics, Inc | Surgery | 1410 Jefferson St, Laurel, MS 39440-4243 | 2011-05-02 |
| 1366604100 | Erica Hutcheson Bass | Surgery | 160 Fountains Blvd Ste B, Madison, MS 39110-6343 | 2008-07-01 |
| 1073770228 | Shell Plastic Surgery,pllc | Surgery | 1306 Belk Blvd, Oxford, MS 38655-5302 | 2008-05-16 |
| 1295927838 | John H Miller Md PC | Surgery | 2781 C T Switzer Sr Dr, Suite 306, Biloxi, MS 39531-4536 | 2007-08-17 |
| 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.