AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA – NPI #1174906648
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.

AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA is a plastic surgeon located in GREENVILLE, SC. NPPES has assigned the NPI number 1174906648 to AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA on July 02, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

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 AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA below.

NPI Profile for
AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA

NPI Number
1174906648
Enumeration Date

(about 11 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
AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA
Primary location
615 HALTON RD
GREENVILLE, SC 29607-3403
Phone: (864) 676-1707 Fax: (864) 676-9256
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUTTON GRAHAM
OWNER
Phone: (864) 676-1707
Updated
Identifiers

Identifiers for AESTHETIC CENTER FOR BREAST AND COSMETIC SURGERY, PA

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
MEDICAIDSCGP0192
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
208200000X
- Plastic Surgery (Primary)
SC 11893

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.