Premier Plastic Surgery Pa in Olathe - Specialist

Premier Plastic Surgery Pa - NPI 1780806216

Premier Plastic Surgery Pa is a Specialist in Olathe, Kansas. Premier Plastic Surgery Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Premier Plastic Surgery Pa is 1780806216. The last update date is 2011-07-06.

Premier Plastic Surgery Pa's current location address is 20375 W 151 St Street, Olathe, Kansas. You can contact this provider via phone number 9137820280. The mailing address for Premier Plastic Surgery Pa is 20375 W 151 St Street, Olathe, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Premier Plastic Surgery Pa
Address 20375 W 151 St Street, Olathe, Kansas
Phone Number 9137820280
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PARTNER
Authorized Official Name Moore B John
Credentials MD
Telephone Number 9137820707

NPI Number Detail

NPI Number 1780806216
Provider Enumeration Date 2007-05-03
Last Updated Date 2011-07-06

Provider Mailing Address Detail

Address 20375 W 151 St Street
City Olathe
State Kansas (KS)
Post Code 66061
Phone Number 9137820280
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
24300011 KS BLUE CROSS

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FAQs about Premier Plastic Surgery Pa

What is the unique 10-digit identification code assigned to Premier Plastic Surgery Pa by the Centers for Medicare & Medicaid Services?

The Premier Plastic Surgery Pa has been issued the NPI (National Provider Identifier) 1780806216, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Premier Plastic Surgery Pa's facilities are situated?

The facilities of Premier Plastic Surgery Pa are physically located at the following address: 20375 W 151 St Street, Olathe, KS, 66061.

What is the Premier Plastic Surgery Pa's specialty and taxonomy code?

The Premier Plastic Surgery Pa's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

On what date did Premier Plastic Surgery Pa receive its 1780806216 assignment from the Centers for Medicare & Medicaid Services?

The Premier Plastic Surgery Pa was assigned its 1780806216 on 2007-05-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Premier Plastic Surgery Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Premier Plastic Surgery Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-07-06.

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