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OMNIVERSE PLASTIKOS PA NPI 1871724500


NPI Information

NPI: 1871724500
Provider Name: OMNIVERSE PLASTIKOS PA
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
14 PROFESSIONAL PKWY
SUITE C
RIDGELAND, MS
ZIP 39157
Phone: (601) 824-1492
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OMNIVERSE PLASTIKOS PA is a plastic and reconstructive surgery surgery in Ridgeland, MS. The provider is a surgeon who specializes in plastic and reconstructive surgery. OMNIVERSE PLASTIKOS PA NPI is 1871724500. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14 PROFESSIONAL PKWY
SUITE C
RIDGELAND, MS
ZIP 39157-190
Phone: (601) 824-1492

The provider's authorized official is Arno Rene Schleich .
The authorized official title is President and has the following contact phone number (601) 824-1492.

The enumeration date for this NPI number is 7/29/2009 and was last updated on 12/20/2010.


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
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and Neck20023MISSISSIPPINo
22086S0105XSurgerySurgery of the Hand20023MISSISSIPPINo
32086S0122XSurgeryPlastic and Reconstructive Surgery20023MISSISSIPPIYes

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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