PLASTIC SURGERY CENTER, INC (NPI# 1972845493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972845493 |
| Entity Type | Organization |
| Organization Name | PLASTIC SURGERY CENTER, INC |
| Other Organization Name | PLASTIC SURGERY CENTER |
| Practice Address |
1851 N Main St Madisonville KY 42431-9024 |
| Practice Telephone | 2702452105 |
| Practice Fax Number | 2704522355 |
| Mailing Telephone | 2702452105 |
| Mailing Fax Number | 2704522355 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |
| Authorized Official Name | TAMMY M SMITH (PRACTICE MANAGER) |
| Authorized Official Telephone | 2702452105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
41340 | KY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Plastic Surgery Center | Doing Business As Name - Organization |
| Street Address |
1851 N MAIN ST |
| City | MADISONVILLE |
| State | KY |
| Zip Code | 42431-9024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679510564 | Eric M. Hofmann | Physician Assistant | 1851 N Main St, Madisonville, KY 42431-9007 | 2006-06-01 |
| 1609417211 | Amy Lynn Hale | Registered Nurse | 1851 N Main St, Madisonville, KY 42431-9024 | 2019-10-04 |
| 1730734229 | Baptist Health Medical Group Inc | Clinic/Center | 1851 N Main St, Madisonville, KY 42431-9024 | 2019-08-02 |
| 1437702826 | Alissa Delano | Nurse Practitioner | 1851 N Main St, Madisonville, KY 42431-9024 | 2019-07-24 |
| 1083117451 | Amy Nicole Mercer | Nurse Practitioner | 1851 N Main St, Madisonville, KY 42431-9024 | 2018-03-13 |
| 1033507561 | Sarah Ruth Peyton | Nurse Practitioner | 1851 N Main St, Madisonville, KY 42431-9024 | 2015-01-06 |
| 1538563960 | Alicia Marie Combs | Nurse Practitioner | 1851 N Main St, Madisonville, KY 42431-9024 | 2014-10-14 |
| 1912318940 | Farhan Ahmed | Family Medicine | 1851 N Main St, Madisonville, KY 42431-9024 | 2014-05-13 |
| 1316357957 | Shujera Bhutta | Family Medicine | 1851 N Main St, Madisonville, KY 42431-9024 | 2014-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750846309 | Sarah Davenport Ziegler | Registered Nurse | 3050 Nebo Rd, Madisonville, KY 42431 | 2019-02-08 |
| 1134604903 | Kelsey Dawn Wilson | Occupational Therapist | 425 Island Ford Rd, Madisonville, KY 42431 | 2018-09-27 |
| 1174006209 | Shaun Vickery | Physical Therapist | 425 Island Ford Road, Madisonville, KY 42431 | 2018-09-14 |
| 1881115384 | Filza Tajik | Speech-Language Pathologist | 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 | 2017-07-05 |
| 1245769280 | Susan Hart | Student in an Organized Health Care Education/Training Program | 200 Clinic Drive, Third North, Madisonville, KY 42431 | 2017-06-05 |
| 1811363880 | Cory Eakins | Nutritionist | 2223 S Main St, Madisonville, KY 42431 | 2015-08-13 |
| 1932598257 | Deidra Boyken | Counselor | 145 E. Center Street Suite 1d, Madisonville, KY 42431 | 2015-01-12 |
| 1841602398 | Jessica France | Occupational Therapist | 339 S Seminary St, Madisonville, KY 42431 | 2014-06-02 |
| 1497097562 | Sunrise Children's Services | Community/Behavioral Health | 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 | 2013-03-26 |
| 1013275023 | Creasha King | Counselor | 1079 Thornberry Dr Ste B, Madisonville, KY 42431 | 2012-04-26 |
| Find all providers in zip 42431 | ||||
| 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 |
|---|---|---|---|---|
| 1235124637 | Henry Garth Smith | Surgery | 1900 N Main St, Madisonville, KY 42431-9443 | 2005-09-13 |
| 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 |
| 1346488335 | Bernard Salameh | Surgery | 996 Wilkinson Trce Ste C1, Bowling Green, KY 42103-3410 | 2009-01-28 |
| 1346402948 | Scott Joseph Rapp | Surgery | 222 S 1st St Ste 100, Louisville, KY 40202-1350 | 2008-06-26 |
| 1437260585 | Joseph J Zaydon Jr Md | Surgery | 720 2nd Street, Ste 302, Bowling Green, KY 42101 | 2006-08-31 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MADISONVILLE |
| Zip Code | 42431 |
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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.