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PREMIER PLASTIC SURGERY PA NPI 1780806216


NPI Information

NPI: 1780806216
Provider Name: PREMIER PLASTIC SURGERY PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
20375 W 151 ST STREET
SUITE 370
OLATHE, KS
ZIP 66061
Phone: (913) 782-0280
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PREMIER PLASTIC SURGERY PA is a specialist in Olathe, KS. 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. PREMIER PLASTIC SURGERY PA NPI is 1780806216. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

20375 W 151 ST STREET
SUITE 370
OLATHE, KS
ZIP 66061
Phone: (913) 782-0280

The provider's authorized official is John B Moore .
The authorized official title is Partner and has the following contact phone number (913) 782-0707.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 7/6/2011.


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
1174400000XSpecialistYes

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
124300011OTHERKANSASBLUE CROSS
2A070000MEDICARE ID-TYPE UNSPECIFIEDKANSAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.