SOUTHEASTERN PLASTIC SURGERY – NPI #1801989884
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

SOUTHEASTERN PLASTIC SURGERY is a surgeon located in TALLAHASSEE, FL. NPPES has assigned the NPI number 1801989884 to SOUTHEASTERN PLASTIC SURGERY on October 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHEASTERN PLASTIC SURGERY” is a dba name, the actual legal business name for this organization is SOUTHEASTERN PLASTIC SURGERY, P.A.. 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 10 years ago on Nov 10, 2016. 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 SOUTHEASTERN PLASTIC SURGERY below.

NPI Profile for
SOUTHEASTERN PLASTIC SURGERY, P.A.

NPI Number
1801989884
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
SOUTHEASTERN PLASTIC SURGERY, P.A.
Doing Business As (dba): SOUTHEASTERN PLASTIC SURGERY
Primary location
2030 FLEISCHMANN RD
TALLAHASSEE, FL 32308
Phone: (850) 219-2000 Fax: (850) 877-2138
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BEN KIRBO
SURGEON/OWNER
Phone: (850) 219-2000
Updated
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)

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.