OMNIVERSE PLASTIKOS PA – NPI #1871724500
Surgery
A surgeon who specializes in plastic and reconstructive surgery.
OMNIVERSE PLASTIKOS PA is a surgeon located in RIDGELAND, MS. NPPES has assigned the NPI number 1871724500 to OMNIVERSE PLASTIKOS PA on July 29, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 15 years ago on Dec 20, 2010. 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 OMNIVERSE PLASTIKOS PA below.
NPI Profile for
OMNIVERSE PLASTIKOS PA
(about 17 years ago)
SUITE C
RIDGELAND, MS 39157-4190 Phone: (601) 824-1492 Fax:
SUITE C, #272
MADISON, MS 39110-6337 Phone: (601) 824-1492 Fax:
PRESIDENT
Phone: (601) 824-1492
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 | 20023 |
| 2086S0105X - Surgery / Surgery of the Hand |
MS | 20023 |
| 2082S0099X - Plastic Surgery / Plastic Surgery Within the Head and Neck |
MS | 20023 |
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.