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UNIVERSITY PLASTIC SURGEONS INC. NPI 1104005776


NPI Information

NPI: 1104005776
Provider Name: UNIVERSITY PLASTIC SURGEONS, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1611 S GREEN RD
#238
SOUTH EUCLID, OH
ZIP 44121
Phone: (216) 691-4000
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UNIVERSITY PLASTIC SURGEONS, INC. is a specialist in South Euclid, OH. The provider is 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. UNIVERSITY PLASTIC SURGEONS, INC. NPI is 1104005776. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1611 S GREEN RD
#238
SOUTH EUCLID, OH
ZIP 44121-128
Phone: (216) 691-4000
Fax: (216) 691-4004

The provider's authorized official is Kimberly A Evans .
The authorized official title is Mngt and has the following contact phone number (216) 691-4000.

The enumeration date for this NPI number is 10/30/2007 and was last updated on 11/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist35 059617OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10879081MEDICAIDOHIO
20801412MEDICAIDOHIO
3E76474MEDICARE UPINOHIO
4UN9249911MEDICARE PINOHIO
5ST0675274MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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