PLASTIC SURGERY CENTER, P.A. – NPI #1063549178
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

PLASTIC SURGERY CENTER, P.A. is a surgeon located in JACKSON, MS. NPPES has assigned the NPI number 1063549178 to PLASTIC SURGERY CENTER, P.A. on February 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 18 years ago on Apr 20, 2008. 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, P.A. below.

NPI Profile for
PLASTIC SURGERY CENTER, P.A.

NPI Number
1063549178
Enumeration Date

(more than 19 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, P.A.
Primary location
1920 CHADWICK DR
SUITE 108
JACKSON, MS 39204-3471
Phone: (601) 373-3730 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DIANA GORMAN
VICE PRES- OFFICE MANAGER
Phone: (601) 373-3730
Updated
Identifiers

Identifiers for PLASTIC SURGERY CENTER, P.A.

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
MEDICAIDMS05959573
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 MS 08261

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.