POGGI PLASTIC SURGERY PA NPI 1558329508

NPI Information

NPI: 1558329508
Provider Name: POGGI PLASTIC SURGERY, PA
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
3510 N. RIDGE ROAD
SUITE 100
WICHITA, KS
ZIP 67205
Phone: (316) 269-3223
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POGGI PLASTIC SURGERY, PA is a plastic and reconstructive surgery surgery in Wichita, KS. The provider is a surgeon who specializes in plastic and reconstructive surgery. POGGI PLASTIC SURGERY, PA NPI is 1558329508. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3510 N. RIDGE ROAD
SUITE 100
WICHITA, KS
ZIP 67205-210
Phone: (316) 269-3223
Fax: (316) 269-3328

The provider's authorized official is Joseph T Poggi .
The authorized official title is Owner/physician and has the following contact phone number (316) 269-3223.

The enumeration date for this NPI number is 5/1/2006 and was last updated on 2/4/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		04-29591	KANSAS	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	04-29591	KANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	102156	OTHER	KANSAS	BCBS
2	102156	OTHER	KANSAS	BLUE CROSS/BLUE SHIELD
3	100422880A	MEDICAID	KANSAS
4	H62362	MEDICARE UPIN	KANSAS
5	102156	MEDICARE PIN	KANSAS

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

NPI Synchronization or Removal

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