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BODY SPECTRUM PLASTIC SURGERY LLC NPI 1780867804


NPI Information

NPI: 1780867804
Provider Name: BODY SPECTRUM PLASTIC SURGERY LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2414 GREATSTONE PT
LEXINGTON, KY
ZIP 40504
Phone: (859) 224-1235
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BODY SPECTRUM PLASTIC SURGERY LLC is a specialist in Lexington, KY. 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. BODY SPECTRUM PLASTIC SURGERY LLC NPI is 1780867804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2414 GREATSTONE PT
LEXINGTON, KY
ZIP 40504-274
Phone: (859) 224-1235
Fax: (859) 224-2382

The provider's authorized official is Bruce R Barton .
The authorized official title is Plastic Surgeon and has the following contact phone number (859) 224-1235.

The enumeration date for this NPI number is 12/12/2007 and was last updated on 5/20/2008.


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
1174400000XSpecialist25491KENTUCKYYes

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
164254915MEDICAIDKENTUCKY
2DD4788MEDICARE PINKENTUCKY
39486MEDICARE PINKENTUCKY
4000000320800OTHERKENTUCKYANTHEM BC/BS
5P00230507MEDICARE PINKENTUCKY
60948601MEDICARE PINKENTUCKY
7C76476MEDICARE UPINKENTUCKY

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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