PLASTIC SURGERY CENTER OF MERIDIAN, LLC – NPI #1790714525
Clinic/Center

PLASTIC SURGERY CENTER OF MERIDIAN, LLC is an AHC clinic located in MERIDIAN, MS. NPPES has assigned the NPI number 1790714525 to PLASTIC SURGERY CENTER OF MERIDIAN, LLC on July 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 15 years ago on Jan 25, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PLASTIC SURGERY CENTER OF MERIDIAN, LLC below.

NPI Profile for
PLASTIC SURGERY CENTER OF MERIDIAN, LLC

NPI Number
1790714525
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PLASTIC SURGERY CENTER OF MERIDIAN, LLC
Primary location
5002 HWY 30 NORTH
BLDG. D
MERIDIAN, MS 39301
Phone: (601) 481-7070 Fax:
Mailing address
11999 SAN VICENTE BLVD
STE. 440
LOS ANGELES, CA 90049-5131
Phone: (310) 440-3131 Fax: (310) 472-9582
Organization Subpart
No
Authorized Official
LEE THORTON
OWNER
Phone: (601) 481-7070
Updated
Identifiers

Identifiers for PLASTIC SURGERY CENTER OF MERIDIAN, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA03039899
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.