1730330903 NPI number — THE CENTER FOR COSMETIC SURGERY, PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730330903 NPI number — THE CENTER FOR COSMETIC SURGERY, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE CENTER FOR COSMETIC SURGERY, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730330903
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/07/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1050 BEECHER XING N
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
GAHANNA
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43230-4567
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-429-1151
Provider Business Mailing Address Fax Number:
412-429-0211

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2275 SWALLOW HILL RD
Provider Second Line Business Practice Location Address:
SUITE 2400
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15220-1656
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-429-1151
Provider Business Practice Location Address Fax Number:
412-429-0211
Provider Enumeration Date:
10/07/2008

Additional Information

Authorized Official

Authorized Official Last Name:
WISE
Authorized Official First Name:
KYM
Authorized Official Middle Name:
Authorized Official Title or Position:
COMPLIANCE DIRECTOR
Authorized Official Telephone Number:
412-429-1151

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com